A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin, a cephalosporin via intermitent IV bolus Which of the following findings should the nurse Identify as a contraindication for the client to receive cefoxitin and report to the provider?
A recent history of diarrhea for 3 days.
Serum creatinine 0.8 mg/dL.
Severe allergy to amoxicillin.
A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride.
The Correct Answer is C
Cefoxitin is a cephalosporin antibiotic and can cause allergic reactions in people who are allergic to penicillin or other beta-lactam antibiotics like amoxicillin. Therefore, a severe allergy to amoxicillin is a contraindication for the client to receive cefoxitin, and the nurse should report this finding to the provider immediately.
A recent history of diarrhea for three days is not a contraindication for cefoxitin administration. However, the nurse should monitor the client for signs of diarrhea and report any worsening symptoms to the provider.
A serum creatinine level of 0.8 mg/dL is within the normal range and is not a contraindication for cefoxitin administration.
A history of phlebitis following an IV infusion of 0.9% sodium chloride with 10 mEq potassium chloride is not a contraindication for cefoxitin administration. However, the nurse should assess the client's veins carefully before administering the medication and choose a different site or route for administration if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
When using a transdermal patch, it is important to clean and dry the skin before applying the patch 1. This helps to ensure that the patch sticks properly to the skin. The nurse should identify this statement as an indication that the client understands the teaching about using transdermal patches at home.
Correct Answer is C
Explanation
Enteric-coated aspirin is designed to release slowly over time to protect the stomach lining from irritation. Crushing the medication would defeat this purpose and could cause stomach irritation or other side effects.
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