A nurse is caring for a client who has a sulfa allergy.
Which of the following prescriptions should the nurse clarify with the provider?
Celecoxib.
Digoxin.
Prednisone.
Atorvastatin.
The Correct Answer is A
Choice A rationale
Celecoxib contains a sulfa moiety and can cause an allergic reaction in individuals with sulfa allergies.
Choice B rationale
Digoxin does not contain sulfa and is not contraindicated in patients with a sulfa allergy.
Choice C rationale
Prednisone is a corticosteroid and does not contain sulfa; it is safe for patients with sulfa allergies.
Choice D rationale
Atorvastatin is a statin medication and does not contain sulfa; it is safe for patients with sulfa allergies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Placing the client in a private room with a private bathroom helps prevent the spread of the infection to other patients and ensures that the client’s wound drainage, which is likely contagious, does not contaminate shared facilities. This isolation measure is crucial in managing infectious wounds.
Choice B rationale
Discarding soiled wound care supplies outside the client's room increases the risk of contaminating common areas. Proper disposal of contaminated materials within the room is necessary to contain the infection.
Choice C rationale
Instructing visitors to perform hand hygiene for only 5 seconds is insufficient. Proper hand hygiene requires at least 20 seconds of scrubbing with soap and water or an alcohol-based hand sanitizer to effectively remove pathogens.
Choice D rationale
Administering antibiotic therapy before culturing the client's wound could interfere with the accuracy of the culture results. Cultures should be obtained before starting antibiotic therapy to identify the causative organism accurately.
Correct Answer is D
Explanation
Choice A rationale
Peripheral edema is swelling in the tissues due to fluid accumulation, often related to heart or kidney issues, not typically a sign of anaphylaxis.
Choice B rationale
Pallor refers to paleness and is usually a sign of anemia or shock, not specifically linked to anaphylaxis.
Choice C rationale
Hypertension, or high blood pressure, is not a common manifestation of anaphylaxis. Anaphylaxis typically causes hypotension, or low blood pressure.
Choice D rationale
Pruritus, or severe itching, is a common clinical manifestation of anaphylaxis due to the release of histamines in the body.
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