The nurse is admitting a patient to the acute care floor. While obtaining the history, the client tells the nurse she is allergic to penicillin. Which of the following medications, if ordered by the physician, would be safe for this client?
Erythromycin (E-mycin)
piperacillin-tazobactar (Zosyn)
ampicillin sulbactam (Unasyn)
cefazolin (Kefzol)
The Correct Answer is A
A. Erythromycin (E-mycin): Erythromycin is a macrolide antibiotic, which has a different chemical structure from penicillins, making it safe for patients with penicillin allergies.
B. Piperacillin-tazobactam (Zosyn): Piperacillin-tazobactam is a penicillin derivative and should be avoided in patients with penicillin allergies due to the risk of cross-reactivity.
C. Ampicillin sulbactam (Unasyn): Ampicillin is a penicillin antibiotic, and therefore, should not be used in patients with penicillin allergies.
D. Cefazolin (Kefzol): Cefazolin is a cephalosporin antibiotic. There is a potential for cross-reactivity in patients with penicillin allergies, especially if the allergy is severe. It may be used with caution or avoided depending on the patient's allergy history.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Liver enzymes/ LFTs: Correct. Isoniazid (INH) is hepatotoxic and can cause liver damage. Monitoring liver function tests (LFTs) helps detect hepatotoxicity early.
B. PT and PTT: These tests measure blood clotting and are not directly affected by INH.
C. BUN: Blood Urea Nitrogen (BUN) measures kidney function, and while it is important, INH primarily affects the liver.
D. CBC: Complete Blood Count (CBC) is useful for overall health but not specifically for monitoring INH therapy.
Correct Answer is ["Glucagon"]
Explanation
The Islets of Langerhans in the pancreas produce two main hormones: insulin and glucagon. Insulin helps regulate blood sugar by lowering it, while glucagon acts conversely to raise blood sugar levels.
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