A nurse needs to administer a cephalosporin to a patient.
The patient informs the nurse that he is allergic to penicillin.
Which action by the nurse would be most appropriate?

Inform the primary health care provider.

Obtain the patient's occupational history.

Administer an antipyretic drug.

Obtain specimens for kidney function tests.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The most appropriate action for the nurse in this situation is to inform the primary healthcare provider. When a patient with a known penicillin allergy requires a cephalosporin, it's essential to inform the primary healthcare provider because cephalosporins, while structurally related to penicillins, may or may not cross-react with penicillin allergies. The provider needs to assess the patient's allergy history and determine if it's safe to administer the cephalosporin.

Choice B rationale:

Obtaining the patient's occupational history is not the most appropriate action in this scenario. Allergic reactions to medications are not related to the patient's occupation, and it doesn't address the immediate concern of potential cross-reactivity between penicillin and cephalosporin allergies.

Choice C rationale:

Administering an antipyretic drug is not the most appropriate action in this case. The patient's known penicillin allergy and the need for a cephalosporin are the primary concerns. Treating a potential allergic reaction with an antipyretic should only be considered after consultation with the primary healthcare provider.

Choice D rationale:

Obtaining specimens for kidney function tests is not the most appropriate action in this situation. While assessing kidney function is important in some cases, it doesn't address the immediate issue of the patient's penicillin allergy and the need for a cephalosporin. The primary focus should be on ensuring the safety of the antibiotic choice.

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Correct Answer is B

Explanation

Choice A rationale:

Urinalysis is not typically required before administering ciprofloxacin unless there is a specific indication. Ciprofloxacin is often prescribed for urinary tract infections, but routine urinalysis may not be necessary in all cases. Culture tests are more appropriate to determine the causative microorganism and its susceptibility to ciprofloxacin.

Choice B rationale:

Culture tests are essential before administering ciprofloxacin. These tests help identify the specific pathogen causing the infection and determine its sensitivity to the antibiotic. This information is crucial for selecting the most effective treatment and preventing the development of antibiotic resistance.

Choice C rationale:

There is no standard "ulcer test" that needs to be completed before administering ciprofloxacin. The choice of administering ciprofloxacin would depend on the clinical presentation, patient history, and the suspected infection. Culture tests are more relevant for identifying the infection's source.

Choice D rationale:

Stool tests are not typically required before administering ciprofloxacin unless there is a specific indication, such as suspected gastrointestinal infections. Again, the necessity for such tests would depend on the clinical presentation and the healthcare provider's assessment. Culture tests are essential for identifying the causative microorganism in most cases.

A. Stevens-Johnson syndrome (SJS). B. Anaphylactic shock. C. Thrombocytopenia. D. Leukopenia.

Correct Answer is A

Explanation

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A nurse needs to administer a cephalosporin to a patient.The patient informs the nurse that he is allergic to penicillin.Which action by the nurse would be most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ciprofloxacin as ordered.Which test would the nurse ensure is completed before administering the first dose to the patient?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

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A nurse needs to administer a cephalosporin to a patient.
The patient informs the nurse that he is allergic to penicillin.
Which action by the nurse would be most appropriate?