A nurse is reviewing the medical record of a client who just returned to the unit following surgery and notes the client has a history of anaphylaxis in response to penicillin. The client's postoperative prescriptions include a dose of cephalexin. Which of the following actions should the nurse take?
Ask the provider to prescribe diphenhydramine as a precaution.
Hold the medication until the provider makes rounds.
Request that the surgeon prescribe a different antibiotic.
Administer the medication.
The Correct Answer is C
Rationale- The client is at risk of a life-threatening anaphylaxis as cross reactivity occurs between cephalosporin and penicillin as they both contain a beta lactam ring. Cephalexin should be avoided completely
A. Diphenhydramine is used for mild reactions but not anaphylaxis
B. waiting for rounds delays the client’s medication and hence inappropriate
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
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D. used against Herpes viruses
Correct Answer is D
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A. Alcohol containing substances will cause the unpleasant effect when consumed
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