A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

Request a different medication from the provider.

Premedicate the client with diphenhydramine.

Administer the medication to the client.

Request a different route of administration from the provider.

Answer and Explanation

The Correct Answer is C

A. Request a different medication from the provider: Erythromycin is an alternative to penicillin for patients with penicillin allergies and can be administered safely.
B. Premedicate the client with diphenhydramine: This is not necessary unless the client has a history of allergic reactions to erythromycin or other antibiotics.
C. Administer the medication to the client: Erythromycin is a macrolide antibiotic and is safe for clients who are allergic to penicillin.
D. Request a different route of administration from the provider: The route of administration (oral) is appropriate unless there is a specific concern.

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Correct Answer is D

Explanation

A. 15 g of carbohydrates: This is used for hypoglycemia, not for hypotension.
B. Naloxone: Naloxone is an opioid antagonist, not relevant for ramipril-related symptoms.
C. Diphenhydramine: This is an antihistamine and not indicated for ramipril-related dizziness.
D. Fluid bolus: Dizziness and lightheadedness after starting an ACE inhibitor like ramipril may be due to hypotension. A fluid bolus can help restore blood volume and alleviate these symptoms.

A. Dicloxacillin B. Warfarin C. Esomeprazole D. Hydrochlorothiazide

Correct Answer is B

Explanation

A. Dicloxacillin: There are no significant interactions between garlic and dicloxacillin.
B. Warfarin: Garlic can increase the risk of bleeding when taken with warfarin due to its anticoagulant effects.
C. Esomeprazole: No known interaction between garlic and esomeprazole.
D. Hydrochlorothiazide: Garlic does not significantly interact with hydrochlorothiazide.

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A nurse is preparing to administer erythromycin PO to a client who has an infection. The nurse checks the client's medical record and notes that the client has a severe allergy to penicillin. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?

Correct Answer is D

Explanation

A nurse is collecting data from a client who states she recently started taking garlic as an herbal supplement. The nurse should advise the client to stop taking garlic due to a potential reaction with which of the following client medications?

Correct Answer is B

Explanation

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