A nurse is reviewing the medical record of a client who has sinusitis and a nem prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?
The client reports a history of nausea with cefuroxime.
The client has a BUN level of 18 mg/dL.
The client takes an aspirin daily.
The client has a history of a severe penicillin allergy.
The Correct Answer is D
Choice A rationale:
A history of nausea with cefuroxime is a common side effect and may not be the highest priority to report.
Choice B rationale:
A BUN level of 18 mg/dL is within the normal range and may not be an immediate concern.
Choice C rationale:
Taking aspirin daily may have some interactions with cefuroxime, but a history of a severe penicillin allergy is more critical to report.
Choice D rationale:
Cefuroxime is a cephalosporin antibiotic, and individuals with a severe penicillin allergy may have an increased risk of cross-reactivity with cephalosporins. This history should be reported to the provider for further assessment and consideration of alternative antibiotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Pruritus, or itching, is a common adverse effect of opioid medications like morphine.
Choice B rationale:
Gastric bleeding is not a typical adverse effect of morphine administered via epidural infusion.
Choice C rationale:
Tachypnea, or rapid breathing, is not a common adverse effect of morphine. It's more commonly associated with opioid overdose.
Choice D rationale:
Cough is not a prominent adverse effect of morphine administered via epidural infusion.
Correct Answer is C
Explanation
Choice A rationale:
Amphotericin B lipid complex is normally yellow in color, so discarding it would be wasteful and inappropriate. The nurse should only discard the medication if it is cloudy, discolored, or contains particulate matter.
Choice B rationale:
Amphotericin B lipid complex should be administered over 1 hr, not 2 hr, to reduce the risk of infusion-related reactions such as fever, chills, rigors, hypotension, and tachycardia. The nurse should also premedicate the client with antipyretics, antihistamines, and corticosteroids to prevent or minimize these reactions.
Choice C rationale:
Priming the tubing with a compatible solution, such as 0.9% sodium chloride, helps prevent the medication from adhering to the tubing and ensures that the full dose reaches the client.
Choice D rationale:
Amphotericin B lipid complex should be administered using an infusion pump, not a gravity flow set, to ensure accurate and consistent delivery of the medication. The nurse should also use a filter needle when drawing up the medication from the vial and a 5-micron filter when infusing it to remove any impurities or aggregates.
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