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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Pyridoxine, also known as vitamin B6, does not prevent discoloration of body fluids. This is not a known side effect of isoniazid.
Choice B rationale
While isoniazid can potentially cause liver damage, pyridoxine does not prevent this side effect. Instead, regular liver function tests are typically performed to monitor for this potential complication.
Choice C rationale
Pyridoxine is prescribed alongside isoniazid to prevent peripheral neuropathy, which is a potential side effect of isoniazid. Peripheral neuropathy can cause symptoms such as numbness and tingling in the hands and feet.
Choice D rationale
Pyridoxine does not prevent drug-resistant tuberculosis. Drug resistance is a complex issue that is not prevented by vitamin supplementation. Prednisone Prednisone Explore
Correct Answer is D
Explanation
Choice A rationale
A client with a hip fracture and is on bedrest for 4 weeks may indeed experience constipation due to decreased physical activity. However, this situation would not necessarily require the nurse to question the order for psyllium. Psyllium is a bulk-forming laxative that can help relieve constipation by increasing stool bulk and improving bowel regularity.
Choice B rationale
Morphine is an opioid medication that can cause constipation as a side effect. Therefore, a client who is experiencing severe pain and is prescribed morphine may benefit from a laxative like psyllium to help manage opioid-induced constipation. This situation would not necessarily require the nurse to question the order for psyllium.
Choice C rationale
A client who is post-operative and is on a clear liquid diet may experience constipation due to the low fiber content of the diet. However, this situation would not necessarily require the nurse to question the order for psyllium. Once the client progresses to a regular diet, psyllium can help add bulk to the stool and promote regular bowel movements.
Choice D rationale
This choice is correct. A client with a recent stroke who has difficulty swallowing may be at risk for aspiration, or the inhalation of food or liquid into the lungs, when taking psyllium. Psyllium is a bulk-forming laxative that absorbs water in the intestines to form a softer, bulkier stool. If a client with swallowing difficulties were to aspirate the psyllium, it could potentially expand in the lungs when it comes into contact with moisture, leading to serious complications. Therefore, the nurse should question the order for psyllium in this situation.
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