The nurse acts as a preceptor to a novice nurse, who is caring for a client with a penicillin allergy. Which statement by the novice nurse requires further follow up by the nurse preceptor?
A) "The client has a type I hypersensitivity disorder."
B) "The client likely has certain food allergies."
C) "I will administer the prescribed doxycycline."
D) "I will administer the prescribed amoxicillin."
D) "I will administer the prescribed amoxicillin."
Explanation: A) It is important to know that individuals with an allergy history may have cross-reactivities to other substances. In the case of penicillin allergy, cross-reactivity to other related classes of antibiotics is possible, so extreme precautions must be taken before administering parenteral antibiotics. This is also true of other allergies, such as latex allergy and some foodstuffs (banana, avocado, kiwi, and chestnut together with papaya, fig, potato, and tomato); 30-80% of people with latex allergy experience symptoms when they eat one or more of these foods. Type I hypersensitivity reactions are known as allergic reactions, which may occur with medications such as penicillin.
B) It is important to know that individuals with an allergy history may have cross-reactivities to other substances. Individuals with a latex allergy may also be allergic some foodstuffs, such as banana, avocado, kiwi, and chestnut together with papaya, fig, potato, and tomato. It is estimated that 30-80% of people with latex allergy experience symptoms when they eat one or more of these foods.
C) It is important to know that individuals with an allergy history may have cross-reactivities to other substances. In the case of penicillin allergy, cross-reactivity to other related classes of antibiotics is possible, so extreme precautions must be taken before administering parenteral antibiotics. Doxycycline, a tetracycline antibiotic, may be prescribed as an alternative to penicillin as this medication is not related penicillin and may be tolerated well in those with a penicillin allergy.
D) It is important to know that individuals with an allergy history may have cross-reactivities to other substances. In the case of penicillin allergy, cross-reactivity to other related classes of antibiotics is possible, so extreme precautions must be taken before administering parenteral antibiotics. Amoxicillin is a penicillin-type antibiotic and should not be used in the client with a penicillin allergy. Administering this medication increases the client's risk for a hypersensitivity type I allergic reaction.
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