A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin.
The nurse should identify that which of the following medications is contraindicated for this client?

Vancomycin.

Clarithromycin.

Metronidazole.

Ceftriaxone.

Answer and Explanation

The Correct Answer is D

Ceftriaxone is contraindicated for this client because it is a cephalosporin antibiotic, which has a similar structure to penicillin and can cause cross-reactivity in individuals with a penicillin allergy.

Choice A is wrong because Vancomycin is not a beta-lactam antibiotic and does not have cross-reactivity with penicillin.

Choice B is wrong because Clarithromycin is a macrolide antibiotic and does not have cross-reactivity with penicillin.

Choice C is wrong because Metronidazole is a nitroimidazole antibiotic and does not have cross-reactivity with penicillin.

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Correct Answer is A

Explanation

The nurse should administer the medication over 2 hr because amphotericin B lipid complex should be infused slowly intravenously.

Choice B is wrong because priming the tubing with 0.9% sodium chloride is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.

Choice C is wrong because discarding the medication if it is yellow is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.

Choice D is wrong because a gravity flow set is not mentioned as a necessary action when administering amphotericin B lipid complex via intermittent IV bolus.

A. Tetracycline 1 g orally every 6 hr. B. Warfarin 100 units subcutaneously daily. C. Penicillin G 5,000,000 units intramuscularly every 4 hr. D. Zoledronate 5 mg intravenously x 1 dose.

Correct Answer is B

Explanation

Warfarin is an oral anticoagulant medication and is not administered subcutaneously.

The nurse should clarify this prescription with the provider before administering it.

Choice A is wrong because tetracycline can be prescribed in doses of 1 g orally every 6 hours.

Choice C is wrong because Penicillin G can be prescribed in doses of 5,000,000 units intramuscularly every 4 hours.

Choice D is wrong because Zoledronate can be prescribed as a single intravenous dose of 5 mg.

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A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

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A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin.
The nurse should identify that which of the following medications is contraindicated for this client?