A nurse is reviewing the medication list of a client who has a history of allergic reactions to penicillin and sulfa drugs. The nurse should identify that which of the following medications is contraindicated for this client?
Cefazolin
Ciprofloxacin
Vancomycin
Azithromycin
The Correct Answer is A
Answer: A. Cefazolin is a cephalosporin antibiotic that has a cross-sensitivity with penicillin and should be avoided by clients who are allergic to penicillin.
B is incorrect because ciprofloxacin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.
C is incorrect because vancomycin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.
D is incorrect because Azithromycin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer: A. Cefazolin is a cephalosporin antibiotic that has a cross-sensitivity with penicillin and should be avoided by clients who are allergic to penicillin.
B is incorrect because ciprofloxacin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.
C is incorrect because vancomycin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.
D is incorrect because Azithromycin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.
Correct Answer is B
Explanation
Infusion reaction is a common adverse effect of amphotericin B that occurs within 1 to 3 hours of starting the infusion and causes symptoms such as fever, chills, headache, nausea, vomiting, and hypotension.
A is incorrect because anaphylaxis is a severe allergic reaction that causes symptoms such as urticaria, angioedema, bronchospasm, and shock.
C is incorrect because nephrotoxicity is another adverse effect of amphotericin B that causes renal impairment and electrolyte imbalances.
D is incorrect because ototoxicity is an adverse effect of some antibiotics such as gentamicin and vancomycin that causes hearing loss and tinnitus.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.