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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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

Lithium carbonate should be taken with meals to minimize gastrointestinal upset.

Choice B rationale:

Lithium levels can be affected by sodium intake, so decreasing sodium intake can help prevent lithium toxicity.

Choice C rationale:

Tyramine is not typically restricted in clients taking lithium.

Choice D rationale:

Swelling of the feet is not a common adverse effect of lithium carbonate.

A. Peanuts B. Shellfish C. Milk D. Eggs

Correct Answer is D

Explanation

Choice A rationale:

Peanuts are not directly related to influenza vaccine contraindications.

Choice B rationale:

Shellfish allergies are not directly related to influenza vaccine contraindications.

Choice C rationale:

Milk allergies are not directly related to influenza vaccine contraindications.

Choice D rationale:

Influenza vaccines are typically grown in eggs and may contain trace amounts of egg protein. A severe egg allergy can be a contraindication for receiving the influenza vaccine due to the risk of an allergic reaction.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for lithium carbonate. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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