The nurse is preparing to administer amoxicillin (Amoxil) to a patient and learns that the patient previously experienced a rash when taking penicillin.
Which action will the nurse take?
Administer the amoxicillin and penicillin available.
Contact the provider to discuss using a different antibiotic.
Ask the provider to order an antihistamine.
Request an order for a beta-lactamase resistant drug.
The Correct Answer is B
Choice A rationale
Administering amoxicillin when a patient has a known allergy to penicillin can result in a serious allergic reaction. It is important to avoid using any beta-lactam antibiotic in patients with a history of penicillin allergy.
Choice B rationale
Contacting the provider to discuss using a different antibiotic is the safest course of action. The provider can prescribe an alternative antibiotic that does not belong to the beta-lactam class, reducing the risk of an allergic reaction.
Choice C rationale
Asking the provider to order an antihistamine does not address the underlying risk of administering a beta-lactam antibiotic to a patient with a penicillin allergy. Antihistamines are used to manage allergic reactions, not to prevent them.
Choice D rationale
Requesting an order for a beta-lactamase resistant drug does not eliminate the risk of an allergic reaction, as these drugs still belong to the beta-lactam class and can trigger the same allergic responses in sensitive individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
It is not correct to say that women are more prone to adverse effects from medications than men. Adverse effects can vary based on individual responses, and gender is not the sole determinant.
Choice B rationale
Women of reproductive age are often excluded from early-phase drug trials due to the potential risks that experimental drugs could pose to developing fetuses. The reproductive risk needs to be carefully managed to avoid harm.
Choice C rationale
While it is true that drugs can affect women differently than men, this answer does not directly address the specific reason why women are excluded from Phase 1 studies, which is primarily due to the potential risks to reproductive health.
Choice D rationale
This is incorrect because drugs are not tested only on men because they are stronger. This statement is not scientifically accurate and does not reflect the principles of clinical trial design.
Correct Answer is ["D","E"]
Explanation
Choice A rationale
Asking the patient if they take any medication is redundant since this information has already been collected.
Choice B rationale
Inquiring if the patient takes "this medication" is vague and does not provide specific information about the types of medication they are taking.
Choice C rationale
Asking about medication safety practices does not directly relate to the types of medications the patient is taking.
Choice D rationale
It is important to ask about herbs, vitamins, or supplements as these can interact with prescribed medications and affect the patient's health.
Choice E rationale
Over-the-counter (OTC) medications can also have significant interactions with prescription drugs and impact the patient's overall health and treatment plan.
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