A nurse is preparing to give an antibiotic to a patient who reports being allergic to antibiotics. Before giving the medication, what will the nurse do first?
Question the patient about why their allergies are not in their chart.
Ask the patient to name the medication they are allergic to and the reaction they experienced.
Request an order for a lower dose of an antihistamine.
Request an antihistamine order for an antihistamine.
The Correct Answer is B
Choice A reason: Questioning why allergies aren’t aren’t in the chart is secondary and confrontational. Clarifying the specific allergy ensures safety, so this is incorrect for the first action.
Choice B reason: Identifying the specific antibiotic and reaction verifies the allergy, preventing anaphylaxis or harm. This is the priority safety step, making it the correct first action.
Choice C reason: Lowering the dose doesn’t address the allergy risk; allergic reactions can occur regardless. Verifying the allergy is critical first, so this is incorrect.
Choice D reason: An antihistamine may mitigate mild reactions but doesn’t confirm the allergy. Clarifying the allergy prevents unsafe administration, so this is incorrect for the first step.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Inhaled glucocorticoids, like budesonide, reduce airway inflammation over time but don’t act quickly enough to abort acute asthma attacks. Short-acting beta-agonists (e.g., albuterol) are used for acute relief, as glucocorticoids lack immediate bronchodilatory effects, making this choice incorrect for chronic asthma management.
Choice B reason: Using inhaled glucocorticoids only in emergencies is ineffective for chronic asthma. These drugs prevent inflammation and exacerbations through consistent use, not acute intervention. Emergency use is reserved for rescue inhalers like albuterol, making this choice inappropriate for long-term asthma control.
Choice C reason: Inhaled glucocorticoids require daily use to maintain anti-inflammatory effects, reducing airway hyperresponsiveness and preventing asthma exacerbations. Consistent dosing ensures steady suppression of chronic inflammation, improving lung function and reducing symptoms, making this the correct choice for managing chronic asthma effectively.
Choice D reason: A 2-week on/off schedule disrupts the consistent anti-inflammatory action of inhaled glucocorticoids needed for chronic asthma control. Intermittent use reduces efficacy, allowing inflammation to rebound, increasing exacerbation risk. Daily use is standard to maintain therapeutic benefits, making this choice incorrect.
Correct Answer is ["A","B","C"]
Explanation
Choice A reason: Selectivity ensures a drug targets specific receptors, minimizing side effects. This is a key property of an ideal drug, making it a correct choice.
Choice B reason: Safety is critical, ensuring the drug causes minimal harm at therapeutic doses. This is a fundamental ideal drug property, so it is correct.
Choice C reason: Effectiveness ensures the drug achieves its intended therapeutic effect. This is essential for an ideal drug, making it a correct choice.
Choice D reason: Irreversible action is not ideal; reversible effects allow control and safety. The ‘Big Three’ focus on efficacy, safety, and selectivity, so this is incorrect.
Choice E reason: A trade name aids marketing but is not a pharmacological property. Effectiveness, safety, and selectivity are primary, so this is incorrect.
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