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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Fluid retention due to leakage of fluid leads to increase in weight
A. Capillary leak syndrome leads wet cough
B. Capillary leak syndrome leads to flushing but not bruising of the skin
C. leads to tachycardia due to reduced effective volume
Correct Answer is A
Explanation
A. nitrates and nitrites are vasodilators that cause vasodilation and could worsen the already existing hypotension
B. Nitrates have no effect on heart rate
C, D-History of renal disease and MI has no effect on use of the medications
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