Penicillin has cross-sensitivity to which of the following drug classes?
Aminoglycosides
Erythromycins
Quinolones
Cephalosporins
The Correct Answer is D
A. Aminoglycosides: Aminoglycosides are a different class of antibiotics. They do not have cross-sensitivity with penicillin. People who are allergic to penicillin can usually take aminoglycosides without a problem.
B. Erythromycins: Erythromycins are macrolide antibiotics. They are not related to penicillin structurally, so there is no cross-sensitivity between penicillin and erythromycins. People allergic to penicillin can generally take erythromycin without issues.
C. Quinolones: Quinolones, also known as fluoroquinolones, are a different class of antibiotics. They do not share a structural similarity with penicillin, so there is usually no cross-sensitivity between penicillin and quinolones. People allergic to penicillin can usually take quinolones without problems.
D. Cephalosporins: Cephalosporins are beta-lactam antibiotics, just like penicillins. They have a similar chemical structure to penicillins, which can lead to cross-sensitivity. Individuals who are allergic to penicillin might also have an allergic reaction to cephalosporins due to this structural resemblance. However, it's important to note that not all cephalosporins are the same, and the risk of cross-reactivity varies among different generations of cephalosporins. Healthcare providers need to assess the specific situation and choose an appropriate antibiotic if there is a known penicillin allergy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You have developed urticaria in response to something in your environment."
This statement is incorrect. Urticaria refers to hives, a skin rash usually caused by an allergic reaction, infection, or stress. It's not necessarily indicative of an autoimmune disease.
B. "Your immune system is creating antibodies that are destroying your own cells."
This statement is correct. Autoimmune diseases involve the immune system mistakenly attacking the body's own cells and tissues, leading to various health issues.
C. "Your immune system is not able to create antibodies to help you fight infection."
This statement is incorrect. In autoimmune diseases, the immune system is overactive, producing antibodies that target the body's own cells, not that it can't create antibodies.
D. "You have developed an infection that is destroying your immune cells."
This statement is incorrect. Infections don't typically destroy immune cells; instead, infections often stimulate the immune system to respond and fight against invading pathogens.
Correct Answer is A
Explanation
A. "This drug has a longer duration of action than some of the other antibiotics."
Explanation: Azithromycin, a macrolide antibiotic, has a longer half-life in the body compared to some other antibiotics. Half-life refers to the time it takes for half of the drug to be eliminated from the body. A longer half-life means the drug remains effective for a longer duration, allowing for less frequent dosing.
B. "This is a much more effective drug than what you received previously."
Explanation: While azithromycin is effective against a wide range of bacterial infections, it's not accurate to say it's universally more effective than other antibiotics. The choice of antibiotic depends on the specific type of infection and the susceptibility of the bacteria causing it. Effectiveness varies based on the context of use.
C. "I'll call the pharmacy and ask about the chemical makeup of the drug."
Explanation: While understanding the chemical makeup of drugs is important for healthcare professionals, it might not directly answer the patient's question about the dosing frequency. Explaining the drug's pharmacological properties, such as its duration of action, would provide a more relevant and understandable response to the patient's query.
D. "You'll need to ask your healthcare provider questions like that."
Explanation: This response does not provide the patient with the information they seek. Nurses are valuable resources for medication-related questions and should strive to provide accurate and understandable explanations to patients.
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