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

Choice A rationale: Administering filgrastim after chemotherapy is a standard practice to boost white blood cell count. However, filgrastim should not be given within 24 hours before or after chemotherapy, as it can affect the efficacy and increase the risk of side effects. Administering the medication 12 hours after chemotherapy falls within this contraindicated window, necessitating an incident report.

Choice B rationale: Filgrastim can be stored at room temperature for short periods, and 2 hours is generally within acceptable limits for stability.

Choice C rationale: An absolute neutrophil count of 2,500/mm³ is within the normal range, and there is no contraindication for administering filgrastim.

Choice D rationale: Flushing the client's IV line with dextrose 5% in water before and after administering filgrastim is not appropriate, as this medication is typically administered with saline solution. Using an incorrect flushing solution could affect the medication's efficacy or compatibility, necessitating an incident report.

A. Propranolol. B. Isosorbide mononitrate. C. Pantoprazole. D. Montelukast.

Correct Answer is A

Explanation

The nurse should withhold the dose of propranolol and notify the provider.

Using propranolol together with albuterol may reduce the benefits of both medications, since they have opposing effects in the body.

In addition, propranolol can sometimes cause narrowing of the airways, which may worsen breathing problems or trigger severe asthmatic attacks.

Choice B is wrong because there is no known interaction between albuterol and isosorbide mononitrate.

Choice C is wrong because there is no known interaction between albuterol and pantoprazole.

Choice D is wrong because there is no known interaction between albuterol and montelukast.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?

Correct Answer is A

Explanation

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Correct Answer is A

Explanation

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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?