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
Related Questions
Correct Answer is A
Explanation
When a client expresses confusion or uncertainty about their medication, the nurse should always verify the medication order to ensure that the correct medication is being administered. Option (a) is the best response in this scenario because it addresses the client's concern and ensures the medication being given is the correct one.
Option (b) stating that "this is the medication that your doctor wants you to take" does not address the
client's concern and may cause the client to feel dismissed.
Option (c) suggesting to "let me explain the purpose of the medication" is not necessary at this time since
the client is already aware of the purpose and is only concerned about the colour of the pill.
Option (d) stating that "sometimes the same pill comes in a different colour" is not appropriate because it does not address the issue of the client's confusion about the current pill being administered.
Correct Answer is D
Explanation
When administering ophthalmic drops, the nurse should hold the dropper 2 cm (3/4 inch) above the lower conjunctival sac and instill the prescribed number of drops into the sac. The client should be instructed to look up and away from the dropper while the drops are being instilled.
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