When teaching a client about antiviral therapy, the nurse would include information about the possibility of which adverse reactions?

Choice A rationale:

Antihelminthic therapy does not need to be administered cautiously in clients who have cardiac disease unless there are specific contraindications or drug interactions that would necessitate caution. The primary concern in these cases would be ensuring that the chosen antihelminthic drug does not interact adversely with the medications used to manage the client's cardiac condition.

Choice B rationale:

Antihelminthic therapy should be administered cautiously in clients with hepatic impairment. The liver plays a significant role in drug metabolism and elimination. Clients with hepatic impairment may have altered drug metabolism, which can affect the pharmacokinetics of antihelminthic drugs. Therefore, caution is needed to adjust the dosing and monitor for potential side effects in clients with compromised liver function.

Choice C rationale:

Clients with diabetes do not typically require cautious administration of antihelminthic therapy solely due to their diabetes. However, it is essential to consider potential drug interactions with antidiabetic medications that the client may be taking. The primary concern would be ensuring that the antihelminthic drug does not interfere with diabetes management.

Choice D rationale:

Clients with respiratory disorders do not necessarily require cautious administration of antihelminthic therapy based solely on their respiratory condition. However, it is crucial to consider potential drug interactions with medications used to manage the respiratory disorder. Antihelminthic drugs are primarily targeted at parasitic infections and may not directly impact respiratory conditions.

Choice A rationale:

The most appropriate action for the nurse in this situation is to inform the primary healthcare provider. When a patient with a known penicillin allergy requires a cephalosporin, it's essential to inform the primary healthcare provider because cephalosporins, while structurally related to penicillins, may or may not cross-react with penicillin allergies. The provider needs to assess the patient's allergy history and determine if it's safe to administer the cephalosporin.

Choice B rationale:

Obtaining the patient's occupational history is not the most appropriate action in this scenario. Allergic reactions to medications are not related to the patient's occupation, and it doesn't address the immediate concern of potential cross-reactivity between penicillin and cephalosporin allergies.

Choice C rationale:

Administering an antipyretic drug is not the most appropriate action in this case. The patient's known penicillin allergy and the need for a cephalosporin are the primary concerns. Treating a potential allergic reaction with an antipyretic should only be considered after consultation with the primary healthcare provider.

Choice D rationale:

Obtaining specimens for kidney function tests is not the most appropriate action in this situation. While assessing kidney function is important in some cases, it doesn't address the immediate issue of the patient's penicillin allergy and the need for a cephalosporin. The primary focus should be on ensuring the safety of the antibiotic choice.