A nurse working on a medical unit is completing the admission of a client who reports a severe allergy to penicillin. Which of the following actions should the nurse take?
Remove all objects that contain latex from the client’s room.
Verify the client’s medication prescriptions do not include cephalosporin.
Notify dietary services to adjust the client’s diet.
Have the client purchase a medication alert bracelet to wear in the hospital.
The Correct Answer is B
Choice A reason:
Removing all objects that contain latex from the client’s room is important for clients with a latex allergy, not a penicillin allergy. Latex allergies can cause severe reactions, including anaphylaxis, but this action is not relevant to a penicillin allergy.
Choice B reason:
Verifying that the client’s medication prescriptions do not include cephalosporin is crucial because cephalosporins can have cross-reactivity with penicillin. Clients with a penicillin allergy may also react to cephalosporins, so it is essential to avoid prescribing these antibiotics.
Choice C reason:
Notifying dietary services to adjust the client’s diet is not directly related to managing a penicillin allergy. Dietary adjustments are more relevant for clients with food allergies or specific dietary restrictions.
Choice D reason:
Having the client purchase a medication alert bracelet to wear in the hospital is a good practice for general safety, but it is not an immediate action the nurse should take during the admission process. The primary focus should be on ensuring that the client’s medications do not include penicillin or related antibiotics.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
Step 1: Determine the dosage required. Required dosage = 40 mg
Step 2: Determine the concentration of the available solution. Available concentration = 10 mg/mL
Step 3: Calculate the volume to be administered. Volume to be administered = Required dosage ÷ Available concentration Volume to be administered = 40 mg ÷ 10 mg/mL
Step 4: Perform the division. 40 ÷ 10 = 4
= The nurse should administer 4 mL.
Correct Answer is ["0.2"]
Explanation
Step 1: Determine the concentration of morphine sulfate available. = 10 mg/mL
Step 2: Determine the dose of morphine sulfate to be administered. = 2 mg
Step 3: Calculate the volume to be administered using the formula: Volume to be administered = Dose ÷ Concentration
Step 4: Perform the division. Calculation: 2 mg ÷ 10 mg/mL = 0.2 mL
Step 5: Round the answer to the nearest tenth if necessary. = 0.2 mL (no rounding needed)
The nurse should administer 0.2 mL per dose.
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