A patient who has been prescribed cephalexin (Keflex) reports having a severe allergic reaction to penicillin in the past. What is the nurse's best response?
a. Reassure the patient that Keflex is not penicillin.
b. Place an allergy alert band on the patient's wrist.
c. Notify the prescriber immediately before the first Keflex dose.
d. Highlight this important information in the patient's medical record.
D
Cephalexin is a cephalosporin and has a chemical structure that is very similar to the structure of penicillin. Often a person who is allergic to penicillin also is allergic to cephalosporins. Even if the prescriber wishes to go ahead with cephalosporin therapy, he or she may first prescribe pre-medication to reduce the risk for an allergic response.
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In advising a client on the care of an anal fissure caused by chronic constipation, the home health nurse would focus on
a. avoiding long, hot baths. b. cleansing with peroxide after each bowel movement. c. keeping stools small by limiting fluid intake. d. the importance of a daily bowel movement.
____________________ occurs when breathing is insufficient to sustain life.
Fill in the blank(s) with the appropriate word(s).
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For an infant with cystic fibrosis, the greatest concern would be if the mother wanted to
a. bottle feed her infant with formula. b. pump breast milk and bottle feed the infant. c. breastfeed without using enzyme supplements. d. employ a nanny to care for the child during the day.