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.

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Correct Answer is A

Explanation

Choice A rationale
Corticosteroids, like the ones the client has been receiving for severe bronchitis, can cause an increase in glucose levels. This is because corticosteroids can stimulate the liver to release extra glucose and can also make body tissues less sensitive to insulin.
Choice B rationale
Type 2 diabetes does not convert to type 1 diabetes. These are two distinct conditions with different causes.
Choice C rationale
While illness and stress can make the body’s tissues less sensitive to insulin, leading to higher blood glucose levels, the client’s bronchitis symptoms have resolved. Therefore, this is not the most likely reason for the increase in glucose levels.
Choice D rationale
Antibiotics do not typically cause an increase in glucose levels. Therefore, this is not the most likely reason for the increase in glucose levels.

A. Monitor blood pressure for hypertension during the infusion. B. Restrict fluids during vancomycin therapy. C. Infuse the drug over at least 1 hour. D. Discontinue the drug immediately if red man syndrome occurs.

Correct Answer is C

Explanation

Choice A rationale
Monitoring blood pressure for hypertension during the infusion is important, but it is not the primary measure to reduce complications with vancomycin administration3.
Choice B rationale
Restricting fluids during vancomycin therapy is not recommended. Adequate hydration is important when receiving vancomycin to prevent kidney damage3.
Choice C rationale
Infusing the drug over at least 1 hour is the most crucial measure to reduce complications that may occur with vancomycin administration. This is to prevent “red man syndrome,” a reaction that can cause flushing, rash, and hypotension3.
Choice D rationale
Discontinuing the drug immediately if red man syndrome occurs is not the primary measure. The infusion can often be slowed down or temporarily stopped to manage this reaction3.

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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

Correct Answer is A

Explanation

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

Correct Answer is C

Explanation

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