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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A reason: Notifying the provider follows assessment; vital signs gauge injury first. Immediate stability check precedes communication in a fall scenario like this.

Choice B reason: Measuring vital signs first assesses for shock, injury, or distress post-fall. It’s the priority to ensure safety before further actions in emergencies.

Choice C reason: Documentation is essential but secondary to client stability. Vital signs determine urgency, so recording waits until immediate health risks are evaluated.

Choice D reason: Incident reports address safety trends, not acute care. Assessing vital signs first ensures the client’s condition guides subsequent reporting and intervention.

A. Tape the tube to the child's cheek. B. Attach an extension tube to the site's opening prior to use. C. Secure the tubing to the child's abdomen. D. Apply water-soluble lubricant to the site.

Correct Answer is C

Explanation

Choice A reason: Taping to the cheek risks skin injury and tube displacement in kids. Abdominal securing is safer for gastrostomy stability and comfort.

Choice B reason: Extension tubes are for feeding, not routine site care. Attaching one now is premature, unrelated to maintaining the site itself.

Choice C reason: Securing to the abdomen prevents pulling or dislodgement of the gastrostomy tube. It’s a standard care step, ensuring stability and safety.

Choice D reason: Lubricant isn’t needed for site care; it may irritate skin. Clean, dry maintenance is preferred, making this an incorrect action.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse enters a client’s room and finds her sitting on the floor next to the shower. The client states that she slipped on some water outside of the shower. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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