A nurse is preparing to administer the initial dose of ceftriaxone to a client who has endometritis. Which of the following statements by the client should cause the nurse to hold the medication and consult the provider?
"I have a severe allergy to amoxicillin."
"I get sick when I take diuretics."
"I have a history of hearing problems."
"I take prednisone for my asthma."
The Correct Answer is A
A. "I have a severe allergy to amoxicillin." A severe allergy to amoxicillin suggests a potential cross-reactivity with ceftriaxone, as both belong to the beta-lactam antibiotic class. While cross-reactivity between penicillins and cephalosporins is lower with third-generation cephalosporins like ceftriaxone, a history of severe allergic reactions, such as anaphylaxis, warrants consultation with the provider before administration.
B. "I get sick when I take diuretics." Adverse effects from diuretics do not typically indicate a contraindication to ceftriaxone. While diuretics like furosemide can interact with aminoglycosides to increase nephrotoxicity, ceftriaxone does not share this risk. Monitoring for individual tolerances is important, but this statement does not require holding the medication.
C. "I have a history of hearing problems." Ceftriaxone is not associated with ototoxicity, unlike aminoglycosides or vancomycin. A history of hearing problems does not necessitate withholding the medication, though the nurse should monitor for any new or worsening symptoms if concurrent ototoxic medications are prescribed.
D. "I take prednisone for my asthma." Corticosteroid use does not directly contraindicate ceftriaxone administration. While prolonged corticosteroid therapy may increase the risk of infections or mask symptoms of an allergic reaction, it does not warrant holding the antibiotic. The nurse should continue routine monitoring but can safely proceed with administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. I should get assistance when lifting more than 35 pounds: The recommended guideline for safe lifting is to seek assistance or use mechanical aids when lifting objects heavier than 35 pounds. This helps prevent musculoskeletal injuries, particularly in healthcare settings where lifting and repositioning patients is common.
B. I will twist at my waist when moving an object: Twisting at the waist while lifting or moving objects increases the risk of back strain and injury. Proper body mechanics involve pivoting with the feet rather than twisting the torso to reduce stress on the spine and prevent injury.
C. I should hold objects 1 foot away from my body when I walk: Holding objects away from the body increases strain on the arms, shoulders, and back. Keeping objects close to the body, at waist level, helps maintain balance, reduces muscle fatigue, and minimizes the risk of injury.
D. I will roll my shoulders forward to reduce strain on my back: Rolling the shoulders forward can lead to poor posture and increased back strain. Maintaining a neutral spine, keeping the shoulders relaxed and aligned, and engaging core muscles help reduce the risk of injury when lifting or moving objects.
Correct Answer is B
Explanation
A. Red tag, life-threatening injury requiring immediate intervention: Reserved for clients with compromised airway, severe hemorrhage, or life-threatening injuries requiring immediate treatment. This client is stable, alert, and has no signs of life-threatening conditions.
B. Yellow tag, serious injury requiring delayed but urgent treatment: Applied to clients with significant but non-life-threatening injuries that require medical attention. The client has a large laceration with bleeding and is unable to walk but remains hemodynamically stable, making this the most appropriate classification.
C. Green tag, minor injury requiring minimal treatment: Used for ambulatory clients with minor injuries. The client's inability to walk due to a wound requiring further care excludes them from this category.
D. Black tag, non-survivable injury with expected poor outcome: Assigned to clients with fatal injuries or no signs of life. The client remains alert, oriented, and hemodynamically stable, so this classification is not appropriate.
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