A nurse is reviewing the medical record for a client who is at 38 weeks of gestation, tested positive for group B streptococcus B-hemolytic, and is allergic to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

Ampicillin

Erythromycin

Cefazolin

Clindamycin

Answer and Explanation

The Correct Answer is A

Answer: A

Rationale:

A) Ampicillin: Ampicillin is contraindicated for this client because it belongs to the penicillin class of antibiotics. Since the client is allergic to penicillin, administering ampicillin could trigger an allergic reaction, which could range from mild rash to severe anaphylaxis.

B) Erythromycin: Erythromycin is a macrolide antibiotic and can be used as an alternative for clients who are allergic to penicillin. It is often prescribed for group B streptococcus infections in penicillin-allergic clients, making it a suitable option in this case.

C) Cefazolin: Cefazolin is a cephalosporin antibiotic and is generally considered safe for clients with a penicillin allergy, except in cases of severe penicillin allergies. Cross-reactivity is low, and cefazolin can be an appropriate choice for treating group B streptococcus.

D) Clindamycin: Clindamycin is a lincosamide antibiotic and is often used for clients with penicillin allergies. It is effective against group B streptococcus and does not belong to the penicillin or cephalosporin classes, making it a suitable option for this client.

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Correct Answer is B

Explanation

The nurse should include maintaining elbow restraints on the infant in the plan of care following cleft palate repair. This helps to prevent the infant from touching their surgical site and disrupting the healing process.

a) Allowing the infant to have soft foods may be appropriate, but it is not the highest priority. The infant's diet should be determined by the provider and based on the infant's individual needs.

c) Instructing the parents to feed the infant with a spoon may be appropriate, but it is not the highest priority. The infant's feeding method should be determined by the provider and based on the infant's individual needs.

d) Telling the parents to avoid brushing the infant's teeth for two weeks may be appropriate, but it is not the highest priority. The infant's oral care should be determined by the provider and based on the infant's individual needs.

A. Chronic constipation B. Excessive ﬂatulence C. Frequent stools D. Fecal incontinence

Correct Answer is A

Explanation

Chronic constipation is a common finding in clients with hemorrhoids. Constipation can increase pressure on the veins in the rectum and anus, leading to the development of hemorrhoids.

The other options are not correct because:

b) Excessive ﬂatulence is not mentioned as a common finding in clients with hemorrhoids.

c) Frequent stools are not mentioned as a common finding in clients with hemorrhoids.

d) Fecal incontinence is not mentioned as a common finding in clients with hemorrhoids.

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A nurse is reviewing the medical record for a client who is at 38 weeks of gestation, tested positive for group B streptococcus B-hemolytic, and is allergic to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse include?

Correct Answer is B

Explanation

A nurse is collecting health history data from a client who has hemorrhoids. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is contributing to the plan of care for a 12-month-old infant following cleft palate repair. Which of the following actions should the nurse include?

A nurse is reinforcing teaching with the parent of a newborn about security procedures. Which of the following instructions should the nurse include?

A nurse is assisting in the care of a client who is experiencing a postpartum hemorrhage. Which of the following medications should the nurse plan to administer?

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