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 C

Explanation

Choice A rationale

Rolling down knee-high stockings can cause constriction and impair blood flow, which is not the intended purpose of these stockings.

Choice B rationale

Flexing the toes when applying the stockings does not necessarily aid in the application or effectiveness of the stockings.

Choice C rationale

Antiembolic stockings should be reapplied before getting out of bed to ensure that they are in place to provide the necessary pressure to the legs when the client is upright. This helps to promote venous return and prevent blood pooling and clot formation.

Choice D rationale

Thigh-high stockings should reach just below the gluteal folds, not above. If they are too high, they can cause constriction and impair blood flow.

A. Recommend consumption of cold items B. Minimize the use of gravies and sauces. C. Provide an alcohol-based mouthwash. D. Discourage drinking with a straw.

Correct Answer is A

Explanation

Choice A rationale

Recommending consumption of cold items is a common intervention for managing stomatitis in clients receiving cancer treatment. Cold items can help to soothe the mouth and reduce pain. This is the correct choice.

Choice B rationale

Minimizing the use of gravies and sauces is not a standard intervention for managing stomatitis. While some clients may find these foods irritating, others may not.

Choice C rationale

Providing an alcohol-based mouthwash is not recommended for clients with stomatitis. Alcohol can dry out the mouth and exacerbate symptoms.

Choice D rationale

Discouraging drinking with a straw is not a standard intervention for managing stomatitis. Some clients may find that using a straw helps to bypass sore areas in the mouth.

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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 reinforcing teaching with a client regarding application of antiembolic stockings. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a client who is receiving treatment for cancer and is experiencing stomatitis. Which of the following actions should the nurse take to help manage the condition?

Correct Answer is A

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

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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