A nurse is reviewing the medical record of a client who has sinusitis and a new prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?
The client has a history of a severe penicillin allergy.
The client takes an aspirin daily.
The client reports a history of nausea with cefuroxime.
The client has a BUN level of 18 mg/dL
The Correct Answer is A
A. The client has a history of a severe penicillin allergy:
Correct Answer: This is the priority information for the nurse to report to the provider.
Explanation: Cefuroxime is a cephalosporin antibiotic. Individuals with a history of severe penicillin allergy may also have an increased risk of cross-reactivity with cephalosporin antibiotics. This potential cross-reactivity needs to be evaluated by the provider to determine the safety of prescribing cefuroxime for the client.
B. The client takes an aspirin daily:
Incorrect Explanation: While the daily use of aspirin should be considered when prescribing medications, it is not the priority in this scenario.
Explanation: Aspirin use might affect bleeding risk, but it is not directly related to the potential interaction with cefuroxime. The client's severe penicillin allergy takes precedence in terms of immediate concern.
C. The client reports a history of nausea with cefuroxime:
Incorrect Explanation: A history of nausea with cefuroxime is relevant but is not as critical as the severe penicillin allergy.
Explanation: While the nurse should consider the client's history of nausea with cefuroxime, it is not as urgent as addressing the potential cross-reactivity with penicillin.
D. The client has a BUN level of 18 mg/dL:
Incorrect Explanation: The BUN level is not the priority in this context.
Explanation: A BUN level of 18 mg/dL is within the normal range and is not immediately relevant to the decision about prescribing cefuroxime.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. For assessing pain in a 4-year-old child following an orthopedic procedure, the nurse should use the FACES pain scale.
The FACES pain scale uses a series of faces with varying expressions, from smiling to crying, to help children express their level of pain. Children are asked to point to the face that best matches how they feel. This scale is particularly useful for young children who may not have the verbal skills to describe their pain accurately using words or numbers.
B. Word-graphic
Explanation: The word-graphic pain scale typically uses a combination of words and drawings to assess pain, making it more suitable for children who are slightly older and can understand simple words and concepts.
C. Numeric
Explanation: The numeric pain scale involves asking the child to rate their pain on a scale from 0 to 10. This scale is more appropriate for older children who can understand and assign numerical values to their pain intensity.
D. CRIES
Explanation: The CRIES pain scale is often used for assessing pain in newborns and infants up to 6 months old. It focuses on crying, oxygen saturation, vital signs, and facial expressions.
Correct Answer is D
Explanation
A. Peanuts:
While peanut allergies can be severe and life-threatening, they are not a contraindication to receiving the influenza vaccine. Influenza vaccines are not made with peanut-derived ingredients and do not pose a risk to individuals with peanut allergies.
B. Milk:
Milk allergies are not a contraindication to receiving the influenza vaccine. Influenza vaccines are typically free of milk-derived ingredients and do not contain significant amounts of milk proteins that would trigger an allergic reaction in individuals with milk allergies.
C. Shellfish:
Shellfish allergies are not a contraindication to receiving the influenza vaccine. Influenza vaccines are not derived from shellfish and do not contain shellfish proteins that could cause an allergic reaction in individuals with shellfish allergies.
D. Eggs:
This is the correct choice. In the past, some influenza vaccines were prepared using egg-based methods, which could pose a risk to individuals with severe egg allergies. However, most modern influenza vaccines, including those approved for administration in the United States, have extremely low egg protein content. The majority of individuals with egg allergies can safely receive the influenza vaccine, but those with a history of severe egg allergy may still need to consult with their healthcare provider before vaccination.
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