A client was admitted to the hospital with pneumonia. The client's health care provider prescribes "Zinacef, (a second generation cephalosporin) 2 grams IV q8h."
While preparing to administer the first dose of Zinacef, the nurse notices that the client has a penicillin allergy. The best action by the nurse is to:
a. administer the Zinacef as prescribed, but watch the client carefully for any signs of an allergic reaction.
b. ask the pharmacist if another antibiotic can be substituted for the Zinacef.
c. give the Zinacef as prescribed.
d. hold the Zinacef and notify the health care provider of the client's allergy to penicillin.
ANS: D
Feedback
A Incorrect: It should be held until the nurse collaborate with the health care provider.
B Incorrect: This is not the scope of practice for a pharmacist.
C Incorrect: With an allergy to penicillin, there is an increased risk of allergic reactions to cephalosporin.
D Correct: This is the appropriate action by the nurse.
You might also like to view...
A patient asks how she can consume optimal amounts of folate, because she is trying to get pregnant. The nurse will advise this patient to do what?
a. Eat foods naturally high in folate. b. Stop worrying, because folate is present in many foods. c. Take synthetic folate on an empty sto-mach. d. Take synthetic folate in addition to foods high in folate.
The nurse is teaching a class on dysrhythmias and associated therapy
The nurse asks the class, "Which cardiac dysrhythmia would result in the lowest cardiac output, and what treatment would be effective?" The class best demonstrates understanding by responding that ____________ results in the lowest cardiac output, and treatment includes __________. a. atrial flutter; lidocaine b. tachycardia; atropine c. first-degree heart block; verapamil (Calan) d. ventricular fibrillation; defibrillation
The nurse is caring for a patient admitted with a diagnosis of serotonin syndrome. Which will most likely be included in the plan of treatment?
a. Antihypertensive medications b. Intravenous therapy c. Large doses of antianxiety medications d. Sedatives
The nurse is conducting discharge teaching to an adolescent with a methicillin-resistant staphylococcus aureus (MRSA) infection. What should the nurse include in the instructions? (Select all that apply.)
a. Avoid sharing of towels and washcloths. b. Launder clothes and bedding in cold water. c. Use bleach when laundering towels and washcloths. d. Take a daily bath or shower with an antibacterial soap. e. Apply mupirocin (Bactroban) to the nares twice a day for 2 to 4 weeks.