The client with bacterial pharyngitis and tonsillitis is allergic to penicillin. What antibiotic should the nurse be prepared to administer in place of penicillin?
A. Amoxicillin (Amoxil)
B. Erythromycin (E-Mycin)
C. Cephalexin (Keflex)
D. Tetracycline (Sumycin)
B
Cephalosporins have the same chemical structure as penicillin and most people who are allergic to penicillin will also have an allergy to the cephalosporins. Tetracyclines are not usually effective enough against streptococcal species. Erythromycin is usually just as effective as penicillin but has many more gastrointestinal side effects.
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The nurse is attempting to take the blood pressure of a four-year-old child. The child is afraid of the sphygmomanometer. Which action by the nurse will help allay the child's feelings of anxiety?
1. Explain to the child: "I am just going to take your blood pressure." 2. Have the mother hold the child still while the nurse takes the blood pressure. 3. Allow the child to handle the equipment and then demonstrate how the equipment works. 4. Tell the child: "This won't hurt. I've had it done a bunch of times."
The child receiving a transfusion complains of back pain and itching. What is the best initial action by the nurse?
a. Notify the charge nurse. b. Disconnect intravenous lines immediately. c. Give diphenhydramine (Benadryl). d. Clamp off blood and keep line open with normal saline.
An OB nurse manager consistently stays in her office, does not relieve staff for lunches, or assist staff when the unit is busy. Lately, the manager has been working as staff due to an increase in staff absences
Which of the following might contribute to the situation on this unit? 1. The manager?s ability to work the unit 2. The manager?s ability to confront staff regarding absences 3. The manager?s lack of supervision on the unit 4. The lack of expectations of the manager communicated to the staff
The nurse is teaching the parents of a 6-year-old who is taking cyclosporine following renal transplant. What sign should the nurse tell the parents to be especially alert for?
A) Weight loss B) Hypotension C) Signs of infection D) Hair loss