A nurse in a health clinic is assisting in the care of a client diagnosed with chlamydia. The client was prescribed azithromycin 1 g PO once. Which of the following allergy findings in the client's history should the nurse report to the provider?
Allergy to tetracyclines
Allergy to sulfonamides
Allergy to macrolides
Allergy to penicillins
The Correct Answer is C
Choice A reason: Tetracycline allergy doesn’t cross-react with azithromycin, a macrolide. They’re distinct classes, so this isn’t a concern for chlamydia treatment safety.
Choice B reason: Sulfonamide allergy is unrelated to azithromycin’s macrolide structure. No cross-sensitivity exists, making this irrelevant for reporting in this case.
Choice C reason: Azithromycin is a macrolide; allergy to this class risks anaphylaxis. Reporting ensures safe alternative prescribing for chlamydia, a critical safety step.
Choice D reason: Penicillin allergy doesn’t affect azithromycin use; they’re unrelated structurally. This doesn’t require reporting, as no cross-reaction occurs here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Cantaloupe is potassium-rich, about 400 mg per cup, due to its fruit sugar content. It’s unsuitable for low-potassium diets, as it elevates serum levels significantly.
Choice B reason: Orange juice contains around 500 mg potassium per cup, a high amount. Its citric nature doesn’t offset this, making it inappropriate for potassium restriction.
Choice C reason: Sweet potato has over 500 mg potassium per serving, concentrated in its starchy flesh. It’s a poor choice for minimizing potassium in electrolyte imbalances.
Choice D reason: Baked chicken breast offers less than 300 mg potassium per serving, far lower than fruits or tubers. It’s the best option for a low-potassium diet here.
Correct Answer is D
Explanation
Choice A reason: A primary care provider focuses on medical care, not financial aid coordination. Scientifically, they diagnose and treat, lacking the resource linkage role needed for formula access, making this less effective for socioeconomic support postpartum.
Choice B reason: A nutritionist advises on diet, not funding solutions for formula. Scientifically, their expertise is nutritional planning, not social services, misaligning with the client’s economic barrier, requiring broader assistance beyond dietary guidance.
Choice C reason: A pediatric nurse practitioner manages child health, not financial resources. Scientifically, their scope is clinical, not case coordination, making them less equipped to address affordability compared to a role focused on systemic support.
Choice D reason: A case manager connects clients to resources like WIC for formula, addressing financial need. Scientifically, this role bridges socioeconomic gaps, aligning with evidence-based interprofessional care to ensure infant nutrition via community programs.
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