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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Have adolescents lead peer discussions in schools about safe sexual practices: While this intervention promotes education and awareness, it primarily addresses social and educational factors rather than financial ones. It focuses on behavior change among peers rather than directly impacting financial barriers to healthcare access.

B. Distribute condoms through remote community clinics: This intervention directly addresses financial factors affecting community health by ensuring access to condoms, which may otherwise be a financial burden for some individuals. Providing free condoms helps reduce the economic barriers to safe sex practices and promotes better sexual health in the community.

C. Create commercial advertisements describing the long-term effects of HIV: While advertisements can raise awareness about HIV and its consequences, this intervention focuses on informational and awareness aspects rather than directly addressing financial barriers to health services or prevention resources.

D. Include information about perinatal HIV transmission at prenatal education classes: This intervention enhances education regarding HIV transmission but primarily addresses health education rather than financial factors. While it is crucial for preventing transmission, it does not focus on overcoming financial barriers that may limit access to necessary resources or care.

A. Anesthesiologists B. Physician assistants C. Facility pharmacists D. Mental health technicians E. Nurse practitioners

Correct Answer is ["A","B","E"]

Explanation

A. Anesthesiologists: Anesthesiologists have full prescriptive authority as licensed physicians, allowing them to provide telephone medication orders. Their prescribing rights apply in various healthcare settings, following institutional policies and legal guidelines.

B. Physician assistants: Physician assistants have prescriptive authority under physician supervision and can give telephone medication orders where permitted. Their prescribing ability depends on state regulations and facility policies but generally includes routine and emergency prescriptions.

C. Facility pharmacists: Facility pharmacists dispense medications and provide guidance on drug therapy but do not have the legal authority to prescribe. While they collaborate with providers, they cannot issue telephone medication prescriptions.

D. Mental health technicians: Mental health technicians assist with patient care in psychiatric settings but lack the training and licensure required to prescribe medications. Their responsibilities focus on supportive tasks, and they cannot give telephone medication prescriptions.

E. Nurse practitioners: Nurse practitioners have independent or collaborative prescriptive authority depending on state regulations. They can provide telephone medication orders within their scope of practice, ensuring timely medication management for patients.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurse include to address financial factors affecting community health?

Correct Answer is B

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Correct Answer is ["A","B","E"]

Explanation

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