Before administering cefazolin (Ancef), the nurse checks for a previous allergic reaction to:
Sulfonamides
Macrolides
Yeast
Penicillin
The Correct Answer is D
A. Sulfonamides:
Sulfonamides are a class of antibiotics that are structurally distinct from cephalosporins like cefazolin. Allergic reactions to sulfonamides do not necessarily indicate a risk of allergy to cefazolin. However, it's still important to assess for any previous allergic reactions to medications, including sulfonamides, as individuals can have multiple medication allergies.
B. Macrolides:
Macrolides are another class of antibiotics that are structurally different from cephalosporins. Allergic reactions to macrolides do not directly indicate an allergy to cefazolin. However, as with sulfonamides, it's crucial to assess for any history of allergic reactions to medications, including macrolides.
C. Yeast:
Yeast is not a class of antibiotics but rather a type of fungus. Allergic reactions to yeast are unrelated to cephalosporin antibiotics like cefazolin. Therefore, a history of allergic reactions to yeast does not suggest an allergy to cefazolin.
D. Penicillin:
This is the correct choice. Penicillins and cephalosporins share a similar beta-lactam ring structure. Individuals who have had allergic reactions to penicillin may have an increased risk of cross-reactivity with cephalosporins, including cefazolin. Therefore, it's crucial to assess for any previous allergic reactions to penicillin before administering cefazolin to avoid potential allergic reactions or adverse effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ginger root:
Ginger root is well-known for its anti-nausea and anti-inflammatory properties. It has been used for centuries to alleviate motion sickness, nausea, and vomiting. Ginger works by helping to calm the stomach and alleviate gastrointestinal discomfort. Therefore, ginger root is a suitable herbal supplement for controlling nausea associated with motion sickness.
B. Garlic:
Garlic is not typically used for controlling nausea. While garlic has various health benefits, including cardiovascular and immune support, it is not known for its anti-nausea properties.
C. Kava:
Kava is an herbal supplement used for its anxiolytic and sedative effects. It is not commonly used for controlling nausea and may not be effective for alleviating symptoms of motion sickness.
D. Valerian:
Valerian is an herb primarily used for its sedative and anxiolytic properties. It is not commonly used for controlling nausea and would not be an appropriate choice for alleviating symptoms of motion sickness.
Correct Answer is B
Explanation
A. Never take with prescription medications:
This statement is not accurate. Many herbal products can interact with prescription medications, potentially leading to adverse effects or reduced efficacy. However, avoiding taking herbal products with prescription medications altogether may not be practical or necessary in all cases. Instead, it's essential to assess for potential interactions and consult with healthcare professionals.
B. Use only one herbal preparation at a time:
This is the correct approach. Using only one herbal preparation at a time allows for better identification of any allergic reactions or adverse effects. If multiple herbal products are taken simultaneously, it can be challenging to determine which product is causing a particular reaction. Starting with one product also simplifies monitoring for efficacy and safety.
C. Take less than the recommended dose initially:
While starting with a lower dose initially may be a prudent approach for some individuals, it is not necessarily the best way to identify allergic or adverse reactions. Taking less than the recommended dose may not provide a full assessment of the product's effects and may not adequately identify potential adverse reactions.
D. Check with a reputable pharmacist:
Consulting with a reputable pharmacist is essential for obtaining information about herbal products, including potential interactions, side effects, and recommended dosages. While a pharmacist can provide valuable guidance, they may not be present during the initial use of the herbal product to monitor for adverse reactions directly.
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