When admitting a client to the unit, the nurse asks about any allergies to medications. The patient replies "I am allergic to sulfa drugs."What follow-up question should be the priority for the nurse to ask?
"Why were you prescribed a sulfa drug?"
"What was your reaction when you took the sulfa drug?"
"Who is the provider that ordered it for you?"
"When did you have a reaction?"
The Correct Answer is B
A. "Why were you prescribed a sulfa drug?": Knowing the indication for the sulfa drug may provide some medical background but does not help determine the severity or nature of the allergic reaction, which is the nurse’s immediate concern for patient safety.
B. "What was your reaction when you took the sulfa drug?": This is the priority question because it identifies whether the response was a true allergic reaction (such as rash, hives, anaphylaxis) or a non-allergic side effect. Understanding the specific reaction guides safe medication administration and helps avoid cross-reactive drugs.
C. "Who is the provider that ordered it for you?": The prescriber’s identity is not relevant to determining the allergy type or its severity. The nurse’s immediate focus should be on assessing potential risks and ensuring accurate allergy documentation.
D. "When did you have a reaction?": The timing of the reaction can be useful, but it is secondary to identifying the symptoms and severity. Knowing the nature of the reaction allows the healthcare team to evaluate risk more effectively and implement precautions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Impotence.: Cimetidine, an H2 receptor antagonist, can cause endocrine-related adverse effects such as impotence, decreased libido, and gynecomastia in men. Cimetidine can block androgen receptors and increase prolactin levels, altering normal hormonal balance.
B. Hair growth.: Cimetidine does not promote hair growth. Excessive hair growth (hirsutism) is unrelated to H2 blockers and is more commonly associated with hormonal imbalances or specific endocrine disorders rather than this medication.
C. Priapism.: Prolonged, painful erection (priapism) is not a known side effect of cimetidine. It is more often associated with certain psychiatric medications or erectile dysfunction drugs that affect vascular blood flow.
D. Hypersecretion of stomach acid.: Cimetidine decreases, not increases, gastric acid production by blocking histamine receptors in the stomach lining. It is used to treat peptic ulcer disease, GERD, and gastritis by reducing acid secretion and promoting mucosal healing.
Correct Answer is ["A","C","D"]
Explanation
A. Ceftaroline.: Ceftaroline is a fifth-generation cephalosporin that is resistant to many beta-lactamase–producing bacteria. It has broad-spectrum activity and is notably effective against methicillin-resistant Staphylococcus aureus (MRSA) and certain gram-negative organisms.
B. Ampicillin.: Ampicillin alone is not resistant to beta-lactamase–producing bacteria. It is easily inactivated by beta-lactamase enzymes secreted by resistant organisms, which limits its effectiveness unless combined with a beta-lactamase inhibitor.
C. Amoxicillin/Clavulanic acid.: This combination is resistant to beta-lactamase because clavulanic acid is a beta-lactamase inhibitor. It prevents bacterial enzymes from destroying the beta-lactam ring of amoxicillin, allowing the antibiotic to remain active against resistant strains.
D. Piperacillin/tazobactam.: Piperacillin combined with tazobactam also gains resistance to beta-lactamase enzymes. Tazobactam inhibits beta-lactamase activity, enhancing piperacillin’s effectiveness against many gram-positive and gram-negative bacteria, including Pseudomonas aeruginosa.
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