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

Comparing the current blood pressure reading to the preoperative value is the first step the nurse should take. This will help determine if the patient’s blood pressure has significantly dropped, which could indicate hypovolemia or shock.

Choice B rationale

Covering the patient with a warm blanket may be helpful if the patient is feeling cold or showing signs of hypothermia, but it would not address the underlying cause of the low blood pressure.

Choice C rationale

Increasing the IV flow rate might be necessary if the patient is hypovolemic, but this decision should be based on additional assessment data and physician orders.

Choice D rationale

Reassuring the patient is important, but it should not be the first action. The nurse needs to assess and address the cause of the low blood pressure.

A. Elevate your legs on pillows when in bed. B. Apply a heating pad for 15 minutes twice per day. C. Begin an exercise program that includes walking. D. Wear knee-high support hose during the day.

Correct Answer is C

Explanation

Elevating the legs on pillows when in bed is not typically recommended for patients with peripheral arterial disease (PAD). This position can actually decrease arterial blood flow to the legs and worsen symptoms.

Choice B rationale

Applying a heating pad for 15 minutes twice per day is not a standard recommendation for managing PAD. While heat can increase blood flow, it can also lead to burns in patients with decreased sensation due to PAD1.

Choice C rationale

Beginning an exercise program that includes walking is often recommended for patients with PAD. Regular physical activity can improve symptoms of claudication (pain caused by reduced blood flow) and increase overall cardiovascular health.

Choice D rationale

Wearing knee-high support hose during the day is not typically recommended for patients with PAD. Compression stockings are more often used in the management of venous rather than arterial conditions.

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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

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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