The nurse is preparing to administer amoxicillin (Amoxil) to a patient and learns that the patient previously experienced a rash when taking penicillin.
Which action will the nurse take?
Administer the amoxicillin and penicillin available.
Contact the provider to discuss using a different antibiotic.
Ask the provider to order an antihistamine.
Request an order for a beta-lactamase resistant drug.
The Correct Answer is B
Choice A rationale
Administering amoxicillin when a patient has a known allergy to penicillin can result in a serious allergic reaction. It is important to avoid using any beta-lactam antibiotic in patients with a history of penicillin allergy.
Choice B rationale
Contacting the provider to discuss using a different antibiotic is the safest course of action. The provider can prescribe an alternative antibiotic that does not belong to the beta-lactam class, reducing the risk of an allergic reaction.
Choice C rationale
Asking the provider to order an antihistamine does not address the underlying risk of administering a beta-lactam antibiotic to a patient with a penicillin allergy. Antihistamines are used to manage allergic reactions, not to prevent them.
Choice D rationale
Requesting an order for a beta-lactamase resistant drug does not eliminate the risk of an allergic reaction, as these drugs still belong to the beta-lactam class and can trigger the same allergic responses in sensitive individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Acetaminophen is recommended for children because it is effective for pain and fever relief with a low risk of stomach irritation and other side effects.
Choice B rationale
Ibuprofen, though effective, may cause stomach irritation and should be used with caution in children.
Choice C rationale
Aspirin is not recommended for children due to the risk of Reye’s syndrome, a rare but serious condition.
Choice D rationale
Diflunisal is not recommended for children as it is primarily used for more severe pain and conditions like arthritis.
Correct Answer is D
Explanation
Choice A rationale
Increased jugular venous pressure is more commonly associated with right-sided heart failure, where blood backs up into the venous system.
Choice B rationale
Liver enlargement is also indicative of right-sided heart failure due to congestion of the liver blood vessels.
Choice C rationale
Increased pulse rate can occur in both left and right-sided heart failure but is not a specific indicator of worsening left-sided failure.
Choice D rationale
Increased crackles in lung fields indicate fluid accumulation in the lungs, a sign of worsening left-sided heart failure. Left-sided heart failure leads to pulmonary congestion due to inadequate pumping of blood from the left ventricle.
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