Exhibits

Which of the following findings should the nurse identify as a contraindication to the administration of cefazolin? Select all that apply

Temperature

Allergy history

WBC count

Amylase level

Prescription for furosemide

Answer and Explanation

Correct Answer : B,E

Choice A rationale:

Temperature is not a contraindication to cefazolin administration. While fever or temperature might indicate an infection or other condition that needs to be addressed, it does not by itself contraindicate the use of cefazolin. Cefazolin is an antibiotic, and its administration should be based on the presence of an infection and not solely on temperature readings.

Choice B rationale:

Allergy history is a significant contraindication for administering cefazolin. If the client has a known allergy or hypersensitivity to cefazolin or other cephalosporins, administering this medication could cause a severe allergic reaction, including anaphylaxis. Always review the client's allergy history before administering any medication to avoid such adverse effects.

Choice C rationale:

WBC count, although elevated in this scenario (13,000/mm³), is not a contraindication for cefazolin administration. An elevated WBC count may suggest an infection or inflammation, which might actually indicate a need for antibiotic therapy rather than contraindicate it.

Choice D rationale:

Amylase level is within normal range (80 units/L), so it does not contraindicate cefazolin administration. Elevated or abnormal amylase levels would be more relevant to concerns about pancreatitis or other pancreatic issues, but in this case, the level does not suggest a contraindication for cefazolin.

Choice E rationale:

Prescription for furosemide is relevant to consider as a potential contraindication due to the risk of nephrotoxicity. Cefazolin and furosemide both have the potential to impact kidney function. Using these medications together may increase the risk of renal impairment, especially in patients with pre-existing renal conditions. Therefore, it's important to monitor renal function closely when these medications are used together.

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Correct Answer is ["B","D"]

Explanation

Choice A rationale

Scheduled times for dressing changes are not typically included in transfer documentation. This information is usually part of the patient’s daily care plan and can be communicated to the receiving unit as needed.

Choice B rationale

The primary health problem is crucial information to include in the transfer documentation. It provides the receiving unit with a clear understanding of the patient’s main health issue and the reason for their transfer.

Choice C rationale

Admission vital signs from 1 week ago are not typically included in transfer documentation. The most recent vital signs are more relevant and provide a better indication of the patient’s current health status.

Choice D rationale

Current medication prescriptions are essential to include in the transfer documentation. This information ensures continuity of care and prevents medication errors.

Choice E rationale

The number of family members who have visited is not typically included in transfer documentation. This information is not directly related to the patient’s health status or care needs.

A. “I’m going to close my eyes until you finish dressing my incision.”. B. “I would just like to spend my day staring at the TV.”. C. “I’m planning to stay at home until my breast reconstructive surgery.”. D. “I would like to see what this looks like today.”.

Correct Answer is D

Explanation

Choice A rationale

Closing one’s eyes during wound dressing may indicate avoidance or denial, which are not effective coping strategies. It’s important for patients to be aware of their condition and participate in their care to the extent possible.

Choice B rationale

Spending the day staring at the TV may indicate withdrawal or depression, which are not signs of effective coping. Engaging in activities, socializing, and participating in physical therapy or rehabilitation can help improve mood and promote recovery.

Choice C rationale

While it’s normal for patients to want to stay home until they feel better or until they have completed reconstructive surgery, this statement alone does not necessarily indicate effective coping. It’s important for patients to gradually resume normal activities and social interactions as their condition allows.

Choice D rationale

Expressing a desire to see the surgical site indicates acceptance and a willingness to participate in care, which are signs of effective coping. This shows that the patient is taking an active role in their recovery and is not avoiding or denying their condition.

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Exhibits Which of the following findings should the nurse identify as a contraindication to the administration of cefazolin? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the transfer of a patient from a medical-surgical unit to an intensive care unit following a change in status.What information should the nurse include in the transfer documentation? (Select all that apply.)

Correct Answer is ["B","D"]

Explanation

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Correct Answer is D

Explanation

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Exhibits

Which of the following findings should the nurse identify as a contraindication to the administration of cefazolin? Select all that apply