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 A

Explanation

Choice A rationale

For a client with COPD who reports shortness of breath and little appetite, limiting fluid intake during meals can help to prevent early satiety and promote better food intake. Fluids can make the client feel full quickly, which can limit their intake of necessary nutrients.

Choice B rationale

Consuming three regular meals daily may not be the best approach for a client with COPD who has little appetite. Smaller, more frequent meals may be easier for the client to tolerate.

Choice C rationale

Eating lighter, low-calorie foods first is not the best advice for a client with COPD who has little appetite. The client may need high-calorie, nutrient-dense foods to meet their nutritional needs.

Choice D rationale

Eliminating dairy products is not generally recommended for clients with COPD unless they have a specific intolerance. Dairy products can be a good source of protein and other nutrients.

A. Orthopnea. B. Pink frothy sputum. C. Lower extremity edema. D. Damp skin.

Correct Answer is C

Explanation

Choice A rationale

Orthopnea, or difficulty breathing when lying flat, is a common symptom of left-sided heart failure. It occurs due to fluid accumulation in the lungs, which makes it hard for the person to breathe when lying down.

Choice B rationale

Pink frothy sputum is a sign of pulmonary edema, a condition often associated with left-sided heart failure. It happens when fluid backs up into the lungs, causing shortness of breath and coughing up blood-tinged, frothy sputum.

Choice C rationale

Lower extremity edema is a common symptom of right-sided heart failure. It occurs due to fluid accumulation in the peripheral tissues, especially the legs and ankles, as a result of the heart’s inability to pump blood effectively.

Choice D rationale

Damp skin, or diaphoresis, is not specifically associated with right-sided heart failure. It can be a symptom of many conditions, including left-sided heart failure, where it is caused by the body’s increased effort to compensate for the heart’s decreased pumping ability.

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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

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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