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 C
Explanation
Choice A rationale:
Ringing in the ears is not typically associated with clozapine.
Choice B rationale:
Diarrhea is not a common adverse effect of clozapine.
Choice C rationale:
Clozapine can cause agranulocytosis, a serious condition involving a decrease in white blood cells. Fever can be a sign of infection, so clients taking clozapine should notify their provider if they develop a fever.
Choice D rationale:
Weight loss is not a common adverse effect of clozapine.
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale:
The nurse should teach the guardian to shake the device prior to administration to ensure that the medication is well mixed and delivered in the right dose.
Choice B rationale:
Soaking the inhaler in water is not a recommended action as this can damage the device and affect its function.
Choice C rationale:
The nurse should also teach the guardian to use a spacer with the inhaler, which is a device that attaches to the mouthpiece and helps deliver the medication more effectively to the lungs.
Choice D rationale:
The nurse should also not teach the guardian to have the child take one inhalation as needed for shortness of breath, as fluticasone is a long-acting corticosteroid that is used for maintenance therapy and prevention of asthma symptoms, not for acute relief. The child should have a separate rescue inhaler, such as albuterol, for quick relief of bronchospasm.
Choice E rationale
The nurse should instruct the guardian to rinse the child's mouth with water after using the inhaler to prevent oral candidiasis, which is a fungal infection that can occur from the steroid medication.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today