When reviewing the allergy history of a patient, the nurse notes that the patient is allergic to penicillin. Based on this finding, the nurse would question an order for which class of antibiotics?
a. Tetracyclines
b. Sulfonamides
c. Cephalosporins
d. Quinolones
ANS: C
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A 69-year-old female responded well to inpatient treatment with a third-generation cephalosporin. After being largely symptom free for 48 hours, the woman has developed a fever of 38.6°C and an elevated white cell count
What phenomenon may account for this patient's current clinical presentation? A) The patient may be infected with microorganisms that were resistant to the cephalosporin. B) The patient may be experiencing a delayed (type IV) hypersensitivity reaction to the cephalosporin. C) The patient may be developing glomerulonephritis secondary to the nephrotoxic cephalosporin. D) The cephalosporin may have initially caused leukopenia and made the patient susceptible to secondary infection.
Long-term care focuses on monitoring the patient's progress and adherence to the health care regimen. In solid organ transplant recipients, a major cause of graft loss in the long term is failure of patients to adhere to which of the following?
A) Medication regimen B) Dietary requirements C) Follow-up appointments D) Financial requirements
A woman at 35 weeks' gestation calls the physician's office to report she has lower back pain, cramping abdominal pain, and a feeling of pressure in her vagina and pelvis. The nurse suspects:
a. Braxton-Hicks contractions b. Preterm labor c. Spontaneous abortion d. Normal sensations at 35 weeks
A patient arrives in the emergency department complaining of muscle weakness and drowsiness
The nurse notes a heart rate of 80 beats per minute, a respiratory rate of 18 breaths per minute, and a blood pressure of 90/50 mm Hg. The electrocardiogram reveals an abnormal rhythm. The nurse will question the patient about which over-the-counter medication? a. Antacids b. Aspirin c. Laxatives d. Potassium supplements