A nurse is about to give a client amoxicillin but discovers that the client had a rash when taking penicillin in the past. What should the nurse’s next step be?

Discuss with the provider the possibility of using a different antibiotic.

Administer the amoxicillin and keep epinephrine on hand.

Request the provider to prescribe an antihistamine.

Ask for an order for a beta-lactamase resistant drug.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Amoxicillin is a type of penicillin, and if a client has had a rash or any other allergic reaction to penicillin in the past, it’s possible they could have a similar reaction to amoxicillin. Therefore, the nurse should discuss with the provider the possibility of using a different antibiotic. This is important because allergic reactions to antibiotics can be severe and even life-threatening.
Choice B rationale
Administering the amoxicillin and keeping epinephrine on hand is not the best course of action. While epinephrine can be used to treat severe allergic reactions, it’s better to avoid the risk of an allergic reaction in the first place if possible.
Choice C rationale
Requesting the provider to prescribe an antihistamine would not address the potential for a serious allergic reaction to the amoxicillin. Antihistamines can help with mild allergic reactions, but they may not be sufficient for a severe reaction.
Choice D rationale
Asking for an order for a beta-lactamase resistant drug might not be necessary. Beta-lactamase resistant drugs are used to treat infections caused by bacteria that produce beta-lactamase, an enzyme that can break down and resist penicillins. However, the client’s allergy to penicillin does not necessarily mean that a beta-lactamase resistant drug is required.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale
While it’s important to keep your doctor informed about your blood glucose levels, a single reading of 57 mg/dL may not require immediate medical attention. However, if hypoglycemia symptoms persist or the patient has repeated episodes of low blood sugar, they should contact their healthcare provider.
Choice B rationale
Resting until the symptoms pass is not an appropriate response to hypoglycemia. Without treatment, hypoglycemia can lead to serious complications, including loss of consciousness or seizures.
Choice C rationale
Taking an oral form of glucose is the correct response when experiencing hypoglycemia. This could be in the form of glucose tablets, juice, or other fast-acting carbohydrates.
Choice D rationale
Giving oneself regular insulin when blood glucose is low could further lower blood glucose levels and worsen hypoglycemia.

A. Diverticulosis B. High ammonia levels due to liver failure C. Abdominal pain of unknown origin D. Chronic constipation

Correct Answer is C

Explanation

Choice A rationale
Diverticulosis is a condition where small pouches, called diverticula, form in the wall of the colon. While it can cause discomfort and complications, it is not a contraindication for laxative use. Laxatives can actually help prevent constipation, which can exacerbate diverticulosis.
Choice B rationale
High ammonia levels due to liver failure can cause serious health problems, including hepatic encephalopathy, a decline in brain function. However, it is not directly related to the use of laxatives. Laxatives work primarily in the colon, not the liver.
Choice C rationale
Abdominal pain of unknown origin could be a sign of a serious condition, such as an intestinal obstruction or appendicitis. Using a laxative could worsen these conditions. Therefore, it’s important to identify the cause of the abdominal pain before using a laxative.
Choice D rationale
Chronic constipation is often treated with laxatives. They work by softening the stool or stimulating the bowel to pass stool. Therefore, chronic constipation is not a contraindication for laxative use.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is about to give a client amoxicillin but discovers that the client had a rash when taking penicillin in the past. What should the nurse’s next step be?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has provided education to a patient with diabetes who is starting on insulin injections. The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?

Correct Answer is C

Explanation

A laxative has been ordered for a patient. The nurse checks the patient’s medical history and would be concerned if which condition is present?

Correct Answer is C

Explanation

A patient has been newly prescribed gentamicin 120mg, IM, once. After reviewing the patient’s home medication list, which medication should the nurse be most concerned about?

A patient has been prescribed radioactive iodine in preparation for a total thyroidectomy due to thyroid cancer. What advice about taking the medication should the nurse provide?

The nurse is administering a vancomycin infusion. What measure should the nurse implement to reduce complications that may occur with this drug’s administration?

A patient has been prescribed the antibiotic doxycycline. What is the most important information for the nurse to include when educating the patient?

Before administering amphotericin B to a patient, what is the most crucial step a nurse should take?

A patient is scheduled to receive intravenous acyclovir. What should the nurse do first before administering the scheduled dose?

A patient calls the clinic and reports feeling unwell, with symptoms of rapid heart rate, severe headache, and light-headedness. The nurse notes that the patient was prescribed metronidazole a few days ago. What substance could likely be causing these symptoms?