Your patient is allergic to penicillin. He may also have a cross-allergy to which class of antibiotics?
Aminoglycosides
Sulfonamides
Macrolides
Cephalosporins
The Correct Answer is D
A. Aminoglycosides: Aminoglycosides are a separate class of antibiotics with a different chemical structure than penicillins. There is no known cross-allergy between penicillins and aminoglycosides.
B. Sulfonamides: Sulfonamides are also a different class of antibiotics, and there is no significant cross-allergy risk with penicillins. However, individuals with allergies to sulfonamide medications may have a higher risk of allergic reactions to other sulfonamide-containing drugs, but this is unrelated to penicillin allergy.
C. Macrolides: Macrolides, such as erythromycin and azithromycin, have a different chemical structure than penicillins, and cross-allergy between penicillins and macrolides is rare. They are considered alternative antibiotic options for patients with penicillin allergies.
D. Cephalosporins: Cephalosporins are a class of antibiotics structurally and chemically related to penicillins. There is a risk of cross-allergy between penicillins and cephalosporins due to their similar beta-lactam ring structure. However, the extent of cross-reactivity varies among different cephalosporins and individual patient sensitivities. It's essential to assess the severity of the penicillin allergy and consider alternative antibiotics if cross-allergy is a concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bacteriostatics are narrow-spectrum drugs, and bactericidal drugs are broad-spectrum: This is not a valid distinction as both bacteriostatic and bactericidal drugs can be either narrow or broad-spectrum.
B. Bacteriostatics work by inhibiting protein synthesis, and bactericidal drugs work by inhibiting nucleic acid synthesis: This is incorrect because both types of drugs can inhibit protein or nucleic acid synthesis depending on the specific drug.
C. Bacteriostatic drugs actually kill bacteria, and bactericidal drugs inhibit bacterial growth: This is incorrect; it states the opposite of the correct differentiation.
D. Bacteriostatic drugs inhibit bacterial growth, and bactericidal drugs actually kill bacteria: This is correct. Bacteriostatic drugs prevent the proliferation of bacteria, while bactericidal drugs kill bacteria.
Correct Answer is ["2"]
Explanation
Here's the calculation to find the volume to administer:
● Dosage (mg) / Concentration (mg/mL) = Volume (mL)
● 4 mg / 2 mg/mL = 2 mL
Therefore, the nurse should administer 2 mL of ondansetron for injection.
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