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
Cyclosporine is an immunosuppressant medication that is often used following organ transplant to prevent rejection. Grapefruit juice can increase the absorption of cyclosporine, leading to an increased risk of side effects and toxicity. Therefore, clients taking cyclosporine should be advised to avoid grapefruit and grapefruit juice while taking this medication. Pepperoni and smoked salmon do not have any known interactions with cyclosporine. Orange juice may also interact with cyclosporine, but not to the same extent as grapefruit juice. It is generally recommended that clients taking cyclosporine avoid drinking large amounts of orange juice and to inform their healthcare provider if they experience any adverse effects.
Correct Answer is B
Explanation
The correct answer is choice b. Constipation.
Choice A rationale:
While headaches can occur with some medications, they are not a common adverse effect of diphenhydramine. Diphenhydramine's typical side effects are more related to its anticholinergic properties.
Choice B rationale:
Diphenhydramine is an antihistamine with anticholinergic effects, which can lead to dry mouth, urinary retention, and constipation as common adverse effects.
Choice C rationale:
Diphenhydramine typically does not cause bradycardia. In some cases, it may cause tachycardia (increased heart rate) rather than a slower heart rate.
Choice D rationale:
Hypertension is not typically associated with diphenhydramine. In fact, it can sometimes cause hypotension (low blood pressure) rather than high blood pressure.
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