The nurse is admitting a patient to the acute care floor. While obtaining the history, the client tells the nurse she is allergic to penicillin. Which of the following medications, if ordered by the physician, would be safe for this client?
Erythromycin (E-mycin)
piperacillin-tazobactar (Zosyn)
ampicillin sulbactam (Unasyn)
cefazolin (Kefzol)
The Correct Answer is A
A. Erythromycin (E-mycin): Erythromycin is a macrolide antibiotic, which has a different chemical structure from penicillins, making it safe for patients with penicillin allergies.
B. Piperacillin-tazobactam (Zosyn): Piperacillin-tazobactam is a penicillin derivative and should be avoided in patients with penicillin allergies due to the risk of cross-reactivity.
C. Ampicillin sulbactam (Unasyn): Ampicillin is a penicillin antibiotic, and therefore, should not be used in patients with penicillin allergies.
D. Cefazolin (Kefzol): Cefazolin is a cephalosporin antibiotic. There is a potential for cross-reactivity in patients with penicillin allergies, especially if the allergy is severe. It may be used with caution or avoided depending on the patient's allergy history.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Penicillin: Penicillin is ineffective against MRSA because it's resistant to this class of antibiotics.
B. Vancomycin: This is a common antibiotic used to treat MRSA infections.
C. Streptomycin: While used for some bacterial infections, streptomycin is not typically the first choice for MRSA.
D. Kanamycin (Kantrex): Kanamycin can be an option for some MRSA strains, but vancomycin is often preferred
Correct Answer is ["B","C","E"]
Explanation
A. Pancreatitis: Pancreatitis is not directly caused by diabetes. It has different etiologies, such as gallstones, alcohol use, and certain medications.
B. New blindness: Diabetes is a leading cause of new cases of blindness among adults due to diabetic retinopathy, which damages the blood vessels in the retina.
C. Nontraumatic lower extremity amputations: Diabetes is the primary cause of nontraumatic lower extremity amputations due to complications such as peripheral neuropathy and poor circulation leading to severe infections and gangrene.
D. Hepatitis: Hepatitis is an inflammation of the liver, commonly caused by viral infections, alcohol abuse, or other factors, not directly by diabetes
E. Renal failure: Diabetes is a major cause of end-stage renal disease (ESRD) due to diabetic nephropathy, which damages the kidneys over time.
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