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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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Enoxaparin is administered subcutaneously, so the syringe needle should be fully inserted into the client's skin.

Choice B rationale:

Expelling the air bubble from the syringe helps ensure accurate dosage and prevents the injection of air into the subcutaneous tissue.

Choice C rationale:

Enoxaparin is administered subcutaneously, not into muscle tissue.

Choice D rationale:

Applying firm pressure to the injection site following administration is not typically necessary for subcutaneous injections of enoxaparin.

A. The client should be treated by giving potassium by IV bolus. B. Another formulation of potassium should be given IV. C. Potassium chloride should be diluted in dextrose 5% in water. D. The potassium infusion rate is too rapid.

Correct Answer is D

Explanation

Choice A rationale:

IV bolus administration of potassium is not appropriate due to the risk of cardiac arrhythmias.

Choice B rationale:

The formulation of potassium (potassium chloride) is appropriate for IV administration.

Choice C rationale:

Potassium chloride is typically diluted in normal saline (0.9% sodium chloride) for IV administration, not dextrose.

Choice D rationale:

The prescribed infusion rate of 30 mEq of potassium chloride over 30 minutes is too rapid and could lead to adverse effects, such as cardiac arrhythmias. The nurse should clarify the prescription and discuss a slower infusion rate with the provider.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client who is to receive potassium replacement. The provider's prescription reads, "Potassium chloride 30 mEq in 0.9% sodium chloride 100 mL IV over 30 min." For which of the following reasons should the nurse clarify this prescription with the provider?

Correct Answer is D

Explanation

A client who has active tuberculosis and is taking rifampin reports that his urine and sweat have developed a red-orange tinge. Which of the following actions should the nurse take?

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