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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:

Alopecia (hair loss) is not a common adverse effect of paroxetine.

Choice B rationale:

Drowsiness is a potential adverse effect of paroxetine, an antidepressant medication that can cause central nervous system effects.

Choice C rationale:

Tinnitus (ringing in the ears) is not commonly associated with paroxetine use.

Choice D rationale:

Peripheral edema is not a common adverse effect of paroxetine.

A. BUN 15 mg/dL B. Potassium 3.8 mEq/L C. The client reports dizziness upon standing. D. The client reports difficulty hearing.

Correct Answer is C

Explanation

Choice A rationale:

A BUN level of 15 mg/dL is within a normal range.

Choice B rationale:

A potassium level of 3.8 mEq/L is within a normal range.

Choice C rationale:

Dizziness upon standing could indicate orthostatic hypotension, which could be a concern following administration of a diuretic like furosemide.

Choice D rationale:

Difficulty hearing is not typically associated with furosemide administration.

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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 providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is B

Explanation

A nurse is caring for a client who has heart failure. The nurse administered furosemide 60 mg IV bolus 30 min earlier. For which of the following findings should the nurse notify the provider?

Correct Answer is C

Explanation

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?

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