A client has been receiving treatment with antineoplastic drugs that depress the bone marrow.
Which preadministration assessment would be most important for the nurse to complete with respect to this effect?

Evaluating the emotional response to the disease.

Obtaining a complete blood count.

Checking fluid intake and output.

Evaluating the client's understanding of therapy.

Answer and Explanation

The Correct Answer is B

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Correct Answer is B

Explanation

A. Inform the primary health care provider. B. Obtain the patient's occupational history. C. Administer an antipyretic drug. D. Obtain specimens for kidney function tests.

Correct Answer is A

Explanation

Choice A rationale:

The most appropriate action for the nurse in this situation is to inform the primary healthcare provider. When a patient with a known penicillin allergy requires a cephalosporin, it's essential to inform the primary healthcare provider because cephalosporins, while structurally related to penicillins, may or may not cross-react with penicillin allergies. The provider needs to assess the patient's allergy history and determine if it's safe to administer the cephalosporin.

Choice B rationale:

Obtaining the patient's occupational history is not the most appropriate action in this scenario. Allergic reactions to medications are not related to the patient's occupation, and it doesn't address the immediate concern of potential cross-reactivity between penicillin and cephalosporin allergies.

Choice C rationale:

Administering an antipyretic drug is not the most appropriate action in this case. The patient's known penicillin allergy and the need for a cephalosporin are the primary concerns. Treating a potential allergic reaction with an antipyretic should only be considered after consultation with the primary healthcare provider.

Choice D rationale:

Obtaining specimens for kidney function tests is not the most appropriate action in this situation. While assessing kidney function is important in some cases, it doesn't address the immediate issue of the patient's penicillin allergy and the need for a cephalosporin. The primary focus should be on ensuring the safety of the antibiotic choice.

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A client has been receiving treatment with antineoplastic drugs that depress the bone marrow.Which preadministration assessment would be most important for the nurse to complete with respect to this effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client develops pseudomembranous colitis secondary to fluoroquinolone therapy.The nurse understands that this is the result of which organism?

Correct Answer is B

Explanation

A nurse needs to administer a cephalosporin to a patient.The patient informs the nurse that he is allergic to penicillin.Which action by the nurse would be most appropriate?

Correct Answer is A

Explanation

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A client has been receiving treatment with antineoplastic drugs that depress the bone marrow.
Which preadministration assessment would be most important for the nurse to complete with respect to this effect?