A nurse is reviewing the medical record of a client who has sinusitis and a nem prescription for cefuroxime. Which of the following client information is the priority for the nurse to report to the provider?
The client reports a history of nausea with cefuroxime.
The client has a BUN level of 18 mg/dL.
The client takes an aspirin daily.
The client has a history of a severe penicillin allergy.
The Correct Answer is D
Choice A rationale:
A history of nausea with cefuroxime is a common side effect and may not be the highest priority to report.
Choice B rationale:
A BUN level of 18 mg/dL is within the normal range and may not be an immediate concern.
Choice C rationale:
Taking aspirin daily may have some interactions with cefuroxime, but a history of a severe penicillin allergy is more critical to report.
Choice D rationale:
Cefuroxime is a cephalosporin antibiotic, and individuals with a severe penicillin allergy may have an increased risk of cross-reactivity with cephalosporins. This history should be reported to the provider for further assessment and consideration of alternative antibiotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
No explanation
Correct Answer is C
Explanation
Choice A rationale:
Flushing the IV line is a routine action and not a reason for filing an incident report.
Choice B rationale:
An absolute neutrophil count of 2.500/mm3 is not an alarming finding and doesn't necessitate an incident report.
Choice C rationale:
Administering filgrastim within close proximity to cytotoxic chemotherapy can increase the risk of bone pain and other complications. This situation requires an incident report for further investigation.
Choice D rationale:
Allowing the medication vial to sit at room temperature for 2 hours before administration is not a critical error that warrants an incident report.
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