The nurse is preparing to administer penicillin to the client who is experiencing an infection. The priority nursing intervention would be for the nurse to:
1. monitor for white patches in the mouth.
2. assess the client's allergy status regarding the antibiotic.
3. teach the client to take the medication on an empty stomach.
4. recommend that the client take a prophylactic antifungal medication.
Answer: 2
1.The nurse watches for white patches when a client is on long-term antibiotics as an indication that the client has a fungal infection, but it is not the priority intervention.
2. Penicillin is one of the antibiotics that produce the most allergic reactions. It is the nurse's priority to check for the client's allergy status regarding penicillin.
3. Since the nurse is giving the medication, the nurse is aware of when the client ate last. The nurse would instruct the client who is being discharged to take the medication on an empty stomach. Allergy status is still the priority.
4. The physician prescribes an antifungal medication if the client develops a fungal infection.
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