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 B
Explanation
Choice A rationale:
Red man syndrome is associated with vancomycin, not phenytoin.
Choice B rationale:
Hypotension, or low blood pressure, can be an adverse effect of phenytoin.
Choice C rationale:
Hypoglycemia is not a typical adverse effect of phenytoin.
Choice D rationale:
Bradycardia is not a common adverse effect of phenytoin.
Correct Answer is D
Explanation
Choice A rationale:
PaCO2 levels are not typically affected by albumin infusions.
Choice B rationale:
Oxygen saturation of 96 is a normal finding and is not directly related to an albumin infusion.
Choice C rationale:
Albumin infusion would not typically cause a decrease in protein levels. A decrease in protein is not expected after albumin infusion, as albumin is a protein itself.
Choice D rationale:
Albumin is a plasma expander that increases the blood volume and the blood pressure in a client who is in shock.
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