A nurse is caring for a child who is allergic to penicillin. The nurse should verify which of the following prescriptions with the provider?
Erythromycin
Gentamicin
Amoxicillin-clavulanate
Amphotericin B
The Correct Answer is C
According to UpToDate, cross-reactivity between penicillins and other beta-lactam antibiotics such as cephalosporins can occur in some cases. Amoxicillin is a type of penicillin, so the nurse should verify this prescription with the provider to ensure that it is safe for the client to take.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. “Monitor for ringing in your ears.”
Choice A rationale:
Erythromycin can cause ototoxicity, which may present as tinnitus (ringing in the ears). Monitoring for this side effect is important to prevent potential hearing damage.
Choice B rationale:
Yellowing of the skin is not a common side effect of erythromycin. This symptom is more associated with liver issues or jaundice, which is not typically linked to erythromycin use.
Choice C rationale:
Erythromycin is more likely to cause gastrointestinal side effects such as diarrhea rather than constipation. Increasing fiber intake is not necessary to prevent constipation when taking this medication.
Choice D rationale:
Grapefruit juice can interfere with the metabolism of many medications, including erythromycin, potentially leading to increased drug levels and risk of side effects. It is generally advised to avoid grapefruit juice while taking erythromycin.
Correct Answer is C
Explanation
Vancomycin is a glycopeptide antibiotic that is effective against gram-positive bacteria, particularly against MRSA, which is resistant to other antibiotics like methicillin. It is not effective against gram-negative bacteria such as Pseudomonas aeruginosa and Klebsiella. Candida is a fungal infection and is not treated with vancomycin. Therefore, in this educational program, the nurse manager should emphasize that vancomycin is indicated for the treatment of infections caused by MRSA.
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