1. A healthcare provider prescribes cephalexin monohydrate (Keflex) for a client with a
postoperative infection. It is most important for the nurse to assess for what additional drug
allergy before administering this p
...
1. A healthcare provider prescribes cephalexin monohydrate (Keflex) for a client with a
postoperative infection. It is most important for the nurse to assess for what additional drug
allergy before administering this prescription?
A) Penicillins.
B) Aminoglycosides.
C) Erythromycins.
D) Sulfonamides.
A) Penicillins.
Cross-allergies exist between penicillins (A) and cephalosporins, such as cephalexin
monohydrate (Keflex), so checking for penicillin allergy is a wise precaution before
administering this drug.
2. Which nursing intervention is most important when caring for a client receiving the
antimetabolite cytosine arabinoside (Arc-C) for chemotherapy?
A) Hydrate the client with IV fluids before and after infusion.
B) Assess the client for numbness and tingling of extremities.
C) Inspect the client's oral mucosa for ulcerations.
D) Monitor the client's urine pH for increased acidity.
C) Inspect the client's oral mucosa for ulcerations.
Cytosine arabinoside (Arc-C) affects the rapidly growing cells of the body, therefore stomatitis
and mucosal ulcerations are key signs of antimetabolite toxicity (C). (A, B, and D) are not
typical interventions associated with the administration of antimetabolites.
3. When assessing an adolescent who recently overdosed on acetaminophen (Tylenol), it is most
important for the nurse to assess for pain in which area of the body?
A) Flank.
B) Abdomen.
C) Chest.
D) Head.
B) Abdomen.
Acetaminophen toxicity can result in liver damage; therefore, it is especially important for the
nurse to assess for pain in the right upper quadrant of the abdomen (B), which might indicate
liver damage. (A, C, and D) are not areas where pain would be anticipated.
4. An adult client is given a prescription for a scopolamine patch (Transderm Scop) to prevent
motion sickness while on a cruise. Which information should the nurse provide to the client?
A) Apply the patch at least 4 hours pri
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