A nurse is reviewing the medical record of a client who just returned to the unit following surgery and notes the client has a history of anaphylaxis in response to penicillin. The client's postoperative prescriptions include a dose of cephalexin. Which of the following actions should the nurse take?
Ask the provider to prescribe diphenhydramine as a precaution.
Hold the medication until the provider makes rounds.
Request that the surgeon prescribe a different antibiotic.
Administer the medication.
The Correct Answer is C
Rationale- The client is at risk of a life-threatening anaphylaxis as cross reactivity occurs between cephalosporin and penicillin as they both contain a beta lactam ring. Cephalexin should be avoided completely
A. Diphenhydramine is used for mild reactions but not anaphylaxis
B. waiting for rounds delays the client’s medication and hence inappropriate
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
C. nasal decongestants cause vasoconstriction to reduce blood flow and secretions. On wearing off, the vessels dilate causing rebound nasal congestion
A. Oral formulation is less potent
B. Oral formulation have longer duration of effect that could cause systemic side effects
D. nasal sprays have immediate action as they bypass metabolism
Correct Answer is C
Explanation
The main precaution during medication administration is to ensure the right medication is given to the right client for safety.
All the other options are important but not a priority
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