The parent of a 5-year-old child asks the nurse to recommend an over-the-counter pain medication for the child.
Which analgesic will the nurse recommend?

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.

Choice A rationale

While maintaining patient confidentiality is crucial, it does not address the immediate medical needs of the patient with chronic renal failure. The primary concern should be addressing the health implications of their condition and ensuring proper care coordination.

Choice B rationale

Administering medications ordered immediately is essential, but it is not the first priority without knowing the patient's current status and medical history. The nurse needs to ensure that the medications prescribed are appropriate for a patient with chronic renal failure.

Choice C rationale

Providing teaching about chronic renal failure is important for long-term management but is not the first priority upon admission. Immediate medical needs and communication with the care team take precedence in this acute care setting.

Choice D rationale

Calling the admitting physician immediately is the first priority. The primary care provider needs to be aware of the patient's diagnosis of chronic renal failure to adjust treatment plans accordingly. Immediate communication ensures that all healthcare professionals are on the same page regarding the patient's care. .