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 B
Explanation
Choice A rationale:
Weight gain is not typically associated with fluid volume deficit; it's more indicative of fluid retention.
Choice B rationale:
Oliguria refers to decreased urine output and can be a sign of fluid volume deficit.
Choice C rationale:
Nausea can be caused by various factors, including gastrointestinal issues, but it's not a specific indicator of fluid volume deficit.
Choice D rationale:
Headaches can have multiple causes and are not a direct sign of fluid volume deficit.
Correct Answer is C
Explanation
Choice A rationale:
A hematocrit (Hct) value of 44% is within the expected range and does not require immediate reporting.
Choice B rationale:
A white blood cell (WBC) count of 5,000/mm3 falls within the normal range and does not require immediate reporting.
Choice C rationale:
Elevated total bilirubin levels can indicate potential liver dysfunction, which can be a concern when a client is taking medications like amitriptyline. The nurse should report this value for further evaluation.
Choice D rationale:
A potassium level of 4.2 mEq/L is within the normal range and does not require immediate reporting.
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