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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale

Acetaminophen is recommended for children because it is effective for pain and fever relief with a low risk of stomach irritation and other side effects.

Choice B rationale

Ibuprofen, though effective, may cause stomach irritation and should be used with caution in children.

Choice C rationale

Aspirin is not recommended for children due to the risk of Reye’s syndrome, a rare but serious condition.

Choice D rationale

Diflunisal is not recommended for children as it is primarily used for more severe pain and conditions like arthritis.

A. True. B. False.

Correct Answer is A

Explanation

Choice A rationale

Drawing up regular insulin first is recommended to avoid contamination of the vial with other types of insulin.

Choice B rationale

Incorrect, as it is standard practice to draw up regular insulin first to maintain purity and efficacy.

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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?

Nursing Test Bank

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Explanation

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Correct Answer is A

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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?