A patient previously experienced an anaphylactic reaction to penicillin G. Which of the following medications should not be administered to this patient due to the potential for cross-sensitivity?
A) Lactulose (Chronulac)
B) Ketoconazole (Nizoral)
C) Kanamycin (Kantrex)
D) Cefadroxil (Duricef)
D
Feedback:
Cefadroxil (Duricef) is a cephalosporin. Administration of cephalosporins or carbapenems should be avoided if possible in people with life-threatening allergic reactions to penicillin. Lactulose reduces blood ammonia by resident intestinal bacteria. It is not contraindicated in the event of penicillin anaphylaxis. Ketoconazole is an antifungal and does not possess cross-sensitivity to penicillin. Kanamycin is an aminoglycoside and does not possess cross-sensitivity to penicillin.
You might also like to view...
A 47-year-old woman is coming to the medical-surgical floor from the emergency department for observation of a severely broken leg
The medical-surgical nurse reviews her PRN medications and sees that she has an NSAID (ibuprofen) ordered every 4 hours. If she wanted to implement preventative pain measures when the patient arrives, the nurse would: A) Check for allergies, use a pain scale to assess the patient's pain, and let the patient know ibuprofen is available every 4 hours if she needs it. B) Do a complete assessment and give pain medication based on the patient's report of pain. C) Check for allergies, use a pain scale to assess the patient's pain and offer the ibuprofen every 4 hours until the patient is discharged. D) Provide medication as per patient request and offer relaxation techniques to promote comfort.
The nurse recognizes that the fastest-growing group in the U.S. population is:
a. 30- to 40-year-olds. b. 40- to 50-year-olds. c. 50- to 65-year-olds. d. those 85 and older.
A researcher reviews the twenty years that a breast cancer clinic has been in operation in a small Midwestern city
The researcher interviews many of the women who have been treated in the clinic during this period and reviews the records of the clinic, along with its survival rates and the emergence of several of its innovative support programs for women and their families. The researcher ultimately writes a story of the clinic over those twenty years. What type of research is this? a. Phenomenologic research b. Grounded theory research c. Ethnographic research d. Historicism
A newly diagnosed type 1, well-controlled, insulin-dependent diabetic client at 20 weeks' gestation asks the nurse how her diabetes will affect her baby. The best explanation would include:
1. "Your baby might be smaller than average at birth." 2. "Your baby will probably be larger than average at birth." 3. "As long as you control your blood sugar, your baby will not be affected at all." 4. "There are no effects until about 2 hours after birth, when your baby might have low blood sugar."