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A client previously experienced a severe anaphylactic reaction to penicillin G. Which medication class should not be administered to this client due to the potential for cross-sensitivity?

Nitrates

Tetracycline

Aminoglycoside

Cephalosporins

Answer and Explanation

The Correct Answer is D

A. Nitrates do not share a cross-sensitivity with penicillin and are safe to use in this client.

B. Tetracycline is a different class of antibiotics and does not have cross-sensitivity with penicillin.

C. Aminoglycosides also do not have cross-sensitivity with penicillin and can be safely administered.

D. Cephalosporins are structurally related to penicillin and have a risk of cross-sensitivity; thus, they should not be given to a client with a history of anaphylaxis to penicillin.

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Correct Answer is ["28"]

Explanation

Infusion rate (gtt/min) = (Infusion rate (mL/hr) Drop factor (gtt/mL)) / 60

In this case:

Infusion rate (mL/hr) = 85 mL/hr
Drop factor (gtt/mL) = 20 gtt/mL

Plugging the values into the formula:

Infusion rate (gtt/min) = (85 mL/hr 20 gtt/mL) / 60 = 28.33 gtt/min

Rounding to the nearest whole number, the infusion rate is 28 gtt/min.

A. Using combination therapy B. Obtaining sensitivity testing C. Checking client allergies D. Evaluating the bactericidal effects

Correct Answer is B

Explanation

A. Using combination therapy may be beneficial in some cases but is not the first step in ensuring the most appropriate drug is chosen for a specific pathogen.

B. Obtaining sensitivity testing is essential to determine the specific antibiotic to which the pathogen is susceptible, ensuring effective treatment.

C. Checking client allergies is important to prevent adverse reactions but does not directly address whether the chosen drug is appropriate for the pathogen.

D. Evaluating the bactericidal effects is part of assessing the treatment's effectiveness, but it should follow sensitivity testing to determine the correct medication.

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A client previously experienced a severe anaphylactic reaction to penicillin G. Which medication class should not be administered to this client due to the potential for cross-sensitivity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Order: IV Fluids: LR @ 85 mL/hr Tubing Factor: 20 gtts/mL How many gtts/min are the IV fluids infusing? Round your answer to the nearest whole number.

Correct Answer is ["28"]

Explanation

To ensure that the most appropriate drug is being used to treat a pathogen, which would need to be done first?

Correct Answer is B

Explanation

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