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 D
Explanation
A. A Vitamin C deficiency:
While a Vitamin C deficiency can lead to oral health issues such as bleeding gums or scurvy, it is less likely to present with bright red oral mucous membranes and white patches. Vitamin C deficiency typically manifests with other symptoms such as fatigue, weakness, and joint pain.
B. Dehydration:
Dehydration can cause dry mouth and oral discomfort, but it is less likely to present with bright red oral mucous membranes and white patches. Dehydration may also result in a dry, sticky feeling in the mouth rather than soreness with white patches.
C. Poor oral hygiene:
Poor oral hygiene can lead to various oral health problems, including gingivitis and dental caries, but it is less likely to cause bright red oral mucous membranes with white patches. Poor oral hygiene typically results in plaque accumulation, gum inflammation, and dental decay rather than the specific symptoms described.
D. A superinfection:
This is the correct option. A superinfection occurs when opportunistic microorganisms, such as fungi or resistant bacteria, proliferate and cause infection following antibiotic therapy. Penicillin, like other antibiotics, can disrupt the normal balance of microorganisms in the mouth, allowing opportunistic pathogens to flourish and lead to conditions such as oral thrush (caused by Candida albicans) or oral candidiasis. The presence of bright red oral mucous membranes with white patches suggests the possibility of a superinfection, which warrants immediate attention from the primary care provider for further evaluation and management.
Correct Answer is ["A","B","D"]
Explanation
A.Recognizing the role of spirituality in health and healing:
Many CAM therapies acknowledge the importance of spirituality in health and healing. Spiritual well-being is considered an integral aspect of overall health in many CAM modalities. Practices such as meditation, yoga, and mindfulness often incorporate spiritual elements. Therefore, recognizing the role of spirituality in health and healing is a common characteristic of CAM therapies.
B. Focusing on treatment of the person as an individual:
One of the key principles of CAM therapies is treating the individual as a whole, taking into account physical, mental, emotional, and spiritual aspects of health. CAM practitioners often emphasize personalized care tailored to the unique needs and characteristics of each individual. Therefore, focusing on the treatment of the person as an individual is a common characteristic of CAM therapies.
C. Focusing only on physical health:
This statement is incorrect. Unlike conventional Western medicine, which primarily focuses on the physical aspects of health and disease, CAM therapies often take a holistic approach that considers the interconnectedness of the mind, body, and spirit. Therefore, CAM therapies typically address physical, mental, emotional, and spiritual aspects of health, rather than focusing solely on physical health.
D.Promotion of disease prevention, self-care, and self-healing:
Many CAM therapies emphasize the importance of disease prevention, self-care practices, and the body’s innate ability to heal itself. These therapies often encourage individuals to take an active role in maintaining their health and well-being through lifestyle modifications, stress management techniques, dietary changes, and other self-care practices. Therefore, promotion of disease prevention, self-care, and self-healing is a common characteristic of CAM therapies.
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