A nurse is caring for a client who has an allergy to penicillin. The health care provider has prescribed amoxicillin. Which of the following actions should the nurse take?

Discuss the prescription with the health care provider.

Administer the medication as prescribed.

Place an incident report in the medical record.

Call the pharmacist for clarification of the medication contraindications.

Answer and Explanation

The Correct Answer is A

Choice A reason: Discussing the prescription with the provider is critical, as amoxicillin, a penicillin derivative, is contraindicated in clients with penicillin allergies due to risk of anaphylaxis. This ensures patient safety by verifying or correcting the order, aligning with nursing advocacy and safety protocols, making it correct.
Choice B reason: Administering amoxicillin to a client with a penicillin allergy risks severe allergic reactions, including anaphylaxis, violating patient safety principles. Nurses must verify contraindicated orders before administration, making this action dangerous and incorrect in this scenario.
Choice C reason: Placing an incident report is premature, as no error has occurred yet. The nurse’s role is to prevent harm by addressing the contraindicated prescription proactively. This action does not resolve the issue and is inappropriate as the first step, making it incorrect.
Choice D reason: Calling the pharmacist for clarification is less direct than discussing with the provider, who issued the order. While pharmacists can provide guidance, the provider must confirm or change the prescription to ensure safety, making this action secondary and less effective.

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Correct Answer is D

Explanation

Choice A reason: Giving 2 ounces of water before newborn genetic screening is unnecessary and inappropriate, as the test involves a heel stick blood sample, not oral intake. Water may disrupt feeding or hydration balance in newborns, making this statement incorrect and irrelevant.
Choice B reason: Newborn genetic screening is typically a one-time test shortly after birth, not repeated at 2 months unless specific conditions warrant follow-up. Routine repetition is not standard, making this statement inaccurate for general teaching about the screening process.
Choice C reason: Blood for newborn genetic screening is collected via a heel stick, not the inner elbow, to minimize discomfort and obtain sufficient capillary blood. Drawing from the elbow is incorrect and impractical for newborns, making this statement inaccurate.
Choice D reason: Performing genetic screening after 24 hours ensures accurate detection of metabolic disorders, as newborns need time to metabolize nutrients. This timing aligns with national guidelines (e.g., AAP), making it essential and correct information for parents about the screening process.

A. Clients exhibit a stable sense of self and consistent relationships. B. Clients often engage in self-harming behaviors. C. Clients respond well to group therapy as the primary treatment. D. Clients rarely experience mood swings or emotional instability.

Correct Answer is B

Explanation

Choice A reason: Clients with borderline personality disorder (BPD) typically exhibit an unstable sense of self and tumultuous relationships, not stability. Their identity disturbances and fear of abandonment lead to chaotic interpersonal dynamics, making this statement incorrect as it misrepresents core BPD characteristics.
Choice B reason: Self-harming behaviors, such as cutting or suicidal gestures, are common in BPD due to emotional dysregulation and impulsivity. These actions serve as maladaptive coping mechanisms for intense emotions, aligning with DSM-5 criteria for BPD, making this the correct information to include.
Choice C reason: While group therapy can be beneficial, dialectical behavior therapy (DBT), an individual and skills-based approach, is the primary evidence-based treatment for BPD. Group therapy alone is not the standard, as it may not address individual emotional regulation needs, making this statement inaccurate.
Choice D reason: Clients with BPD frequently experience mood swings and emotional instability, a hallmark of the disorder due to affective dysregulation. This contradicts the statement, as BPD involves rapid mood shifts, not stability, making this information incorrect for describing BPD characteristics.

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A nurse is caring for a client who has an allergy to penicillin. The health care provider has prescribed amoxicillin. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?

Correct Answer is B

Explanation

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