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 D

Explanation

Choice A rationale:

Lymphoma is not a known adverse effect of aspirin use. Reye's syndrome, a rare but severe condition, is associated with aspirin use in children recovering from viral infections such as chickenpox or influenza. Therefore, it is important to be alert to the development of Reye's syndrome when aspirin is administered to a child with these infections.

Choice B rationale:

Angioneurotic edema is not a typical adverse effect of aspirin use in children with chickenpox. Reye's syndrome is the more relevant concern.

Choice C rationale:

Acute renal failure is not a direct result of aspirin use for fever in children. The primary concern in this context is Reye's syndrome, which affects the brain and liver.

A. Frequency of urination will increase. B. Soreness of throat might occur. C. Itching of throat might occur. D. Color of stools will become darker.

Correct Answer is C

Explanation

Choice A rationale:

Frequency of urination increasing is not typically associated with iron supplements. Iron supplements are more likely to cause constipation or darkening of stools due to increased iron content in the stool.

Choice B rationale:

Soreness of the throat is not a common side effect of iron supplements. While iron supplements can sometimes cause gastrointestinal discomfort, sore throat is not a usual manifestation.

Choice C rationale:

Itching of the throat might occur when taking iron supplements. Iron can irritate the gastrointestinal tract, and this irritation may extend to the throat, causing mild itching or discomfort.

Choice D rationale:

The color of stools becoming darker is a common side effect of iron supplements. Iron can darken stools and make them appear black, which is known as "black, tarry stools.”. This is due to the unabsorbed iron in the gastrointestinal tract.

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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

The parents of a child who is recovering from chickenpox tell the nurse that they gave the child aspirin for his fever.The nurse would be alert to the development of which of the following?

Correct Answer is D

Explanation

A nurse is caring for a client with iron deficiency anemia who is receiving iron supplements.What information should the nurse include in the teaching plan for this client?

Correct Answer is C

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?