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 D
Explanation
Choice A rationale
While maintaining patient confidentiality is crucial, it does not address the immediate medical needs of the patient with chronic renal failure. The primary concern should be addressing the health implications of their condition and ensuring proper care coordination.
Choice B rationale
Administering medications ordered immediately is essential, but it is not the first priority without knowing the patient's current status and medical history. The nurse needs to ensure that the medications prescribed are appropriate for a patient with chronic renal failure.
Choice C rationale
Providing teaching about chronic renal failure is important for long-term management but is not the first priority upon admission. Immediate medical needs and communication with the care team take precedence in this acute care setting.
Choice D rationale
Calling the admitting physician immediately is the first priority. The primary care provider needs to be aware of the patient's diagnosis of chronic renal failure to adjust treatment plans accordingly. Immediate communication ensures that all healthcare professionals are on the same page regarding the patient's care. .
Correct Answer is B
Explanation
Choice A rationale
Pharmacodynamics is the study of how drugs affect the body, including the mechanisms of action and the relationship between drug concentration and effect. It does not describe the actions of the nurses in this context.
Choice B rationale
Pharmacotherapeutics involves the use of drugs to diagnose, treat, and prevent disease. The actions of the nurses in administering iodine, chemotherapy, and vaccines are examples of pharmacotherapeutics, as they are using drugs for therapeutic purposes.
Choice C rationale
Pharmacoeconomics is the study of the cost and value of drugs and therapies. It does not describe the actions of the nurses in administering medications.
Choice D rationale
Pharmacokinetics is the study of how the body absorbs, distributes, metabolizes, and excretes drugs. It does not describe the actions of the nurses in this context.
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