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 C
Explanation
immunosuppression with no pool of white blood cells to fight against infection, fever occurs as a result of production of inflammatory markers against infection
B. In bone marrow suppression the white blood cells are low
A, D.Are general symptoms that could be as a result of other non-infective pathologies
Correct Answer is B
Explanation
B. Interleukin causes capillary leak syndrome which present as fluid retention, dyspnea and edema hence should be held.
A. Giving the drug will worsen the condition
C. Diphenhydramine cannot prevent capillary leak syndrome
D. Delaying the drug is inappropriate as it could worsen the condition of the client.
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