A nurse is caring for a 45-year-old male client in a medical-surgical unit who has a new prescription for cefazolin.

Exhibits

Which of the following findings should the nurse identify as contraindications to administering cefazolin? (Select all that apply.)

Allergy to penicillin

Elevated WBC count

Prescription for furosemide

Fever >38.3°C

Answer and Explanation

Correct Answer : A,C

Choice A rationale: Allergy to penicillin can be a contraindication for administering cefazolin because of potential cross-reactivity between penicillins and cephalosporins. This client’s documented allergy to penicillin with symptoms of rash and throat swelling is significant and raises concern for a potential allergic reaction to cefazolin.

Choice B rationale: Elevated WBC count indicates an ongoing infection or inflammation, which is not a contraindication for cefazolin. Instead, it suggests the need for an antibiotic like cefazolin to manage the infection.

Choice C rationale: Prescription for furosemide is relevant because combining cephalosporins like cefazolin with diuretics like furosemide can increase the risk of nephrotoxicity. It’s important to consider the client’s renal function and monitor for potential kidney damage.

Choice D rationale: Fever >38.3°C is an indication for antibiotic therapy, not a contraindication. The elevated temperature suggests an infection that needs to be treated, making cefazolin appropriate in this context.

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Correct Answer is A

Explanation

Choice A rationale

Consuming small, frequent meals helps in managing energy levels and reducing the work of breathing for clients with COPD.

Choice B rationale

Increasing oxygen to 5 liters per minute without proper medical guidance can lead to oxygen toxicity and other complications in COPD patients.

Choice C rationale

Discontinuing prednisone abruptly can lead to adrenal insufficiency and should be tapered off under medical supervision.

Choice D rationale

Decreasing caloric intake can lead to malnutrition, which is detrimental for COPD clients who need adequate nutrition to maintain energy and muscle strength. .

A. BRCA1 mutation B. Race C. First pregnancy at age 25 D. Biopsy result

Correct Answer is ["A","B"]

Explanation

Choice A rationale: A BRCA1 mutation significantly increases the risk of breast cancer. BRCA1 and BRCA2 genes are involved in the repair of DNA damage, and mutations in these genes impair this function, leading to an increased likelihood of developing breast cancer. Women with a BRCA1 mutation have a substantially higher lifetime risk of breast cancer compared to the general population.

Choice B rationale: Race can be a risk factor for breast cancer, as certain racial and ethnic groups have differing incidences of the disease. Native American women, while having a lower overall risk compared to some other groups, may still have unique risk factors that contribute to their likelihood of developing breast cancer. Additionally, healthcare access and cultural factors can influence outcomes.

Choice C rationale: Having the first pregnancy at age 25 is associated with a lower risk of breast cancer compared to women who have their first pregnancy at a later age. Early full-term pregnancies are generally considered protective against breast cancer because they lead to differentiation of breast cells, which may reduce susceptibility to cancerous changes.

Choice D rationale: The biopsy result showing fibroadenoma, a benign breast tumor, does not itself increase the risk of breast cancer. Fibroadenomas are non-cancerous and are common among younger women. While they may require monitoring, they do not indicate a higher risk of malignancy.

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A nurse is caring for a 45-year-old male client in a medical-surgical unit who has a new prescription for cefazolin. Exhibits Which of the following findings should the nurse identify as contraindications to administering cefazolin? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching for a client who was admitted with an exacerbation of COPD.Which of the following should the nurse include in the client teaching?

Correct Answer is A

Explanation

A nurse in a provider's office is reviewing the medical record of a 38-year-old Native American female client. Exhibits Based on the information provided in the medical record, which of the following findings places the client at risk for breast cancer? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

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A nurse is caring for a 45-year-old male client in a medical-surgical unit who has a new prescription for cefazolin.

Exhibits

Which of the following findings should the nurse identify as contraindications to administering cefazolin? (Select all that apply.)