A nurse is reinforcing teaching with a client about breast self-examinations.Which of the following statements by the client indicates an understanding of the teaching?

Choice A rationale: Allergy to penicillin can be a contraindication for administering cefazolin because of potential cross-reactivity between penicillins and cephalosporins. This client’s documented allergy to penicillin with symptoms of rash and throat swelling is significant and raises concern for a potential allergic reaction to cefazolin.

Choice B rationale: Elevated WBC count indicates an ongoing infection or inflammation, which is not a contraindication for cefazolin. Instead, it suggests the need for an antibiotic like cefazolin to manage the infection.

Choice C rationale: Prescription for furosemide is relevant because combining cephalosporins like cefazolin with diuretics like furosemide can increase the risk of nephrotoxicity. It’s important to consider the client’s renal function and monitor for potential kidney damage.

Choice D rationale: Fever >38.3°C is an indication for antibiotic therapy, not a contraindication. The elevated temperature suggests an infection that needs to be treated, making cefazolin appropriate in this context.

Choice B rationale

Dimming the lighting in the client's room helps reduce photophobia and headaches, which are common symptoms in viral meningitis.

Choice A rationale

Monitoring temperature every 6 hours is not as frequent as needed. Frequent monitoring is crucial due to the risk of rapid changes in condition.

Choice C rationale

Contact precautions are not necessary for viral meningitis, as it is not as contagious as bacterial meningitis. Standard precautions are generally sufficient.

Choice D rationale

Measuring intake and output every 8 hours is standard, but it is not specific to the needs of a viral meningitis patient like controlling environmental stimuli.