Practice Question
A nurse is reviewing the medical record of a client who just returned to the unit following surgery and notes the client has a history of anaphylaxis in response to penicillin. The client's postoperative prescriptions include a dose of cephalexin. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Request that the surgeon prescribe a different antibiotic.
Rationale:
🔸 Cephalexin is a cephalosporin, which may cross-react in penicillin-allergic clients.
🔸 Anaphylaxis history warrants strict avoidance of related beta-lactam antibiotics.
🔸 Substituting with a non-beta-lactam minimizes risk of recurrence.
🔸 The nurse must advocate for safety and clarify prescriptions.
🔸 This is a priority medication safety concern.
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This question is from ATI LPN Advanced Medsurg Exam 2 which contains 45 questions.
More Questions from This Exam
The nurse is educating a patient concerning use of an Epi-pen for a severe allergic reaction to peanuts.Which of the following statements, made by the patient, allows the nurse to know that the education must be reinforced?
Answer Choices:
A. "I need to carry the Epi-pen with me at all times."
B. "When my Epi-pen reaches it's expiration date. I need to get a new one."
C. "Once I inject myself with my Epi-pen. I won't have to go to the hospital."
D. "I need to avoid all foods that may have been exposed to peanuts."
A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?
Answer Choices:
A. Iritis
B. Spinal deformity
C. Facial rash
D. Thickened skin
The nurse knows that Type IV Hypersensitivity Reaction involves which of the following?
Answer Choices:
A. Histamine release
B. T-lymphocyte memory cells
C. Immunosuppression
D. Antigen/antibody interaction
The nurse knows that pernicious anemia is caused by which of the following?
Answer Choices:
A. Damage to kidneys, which cause decrease in erythropoietin production
B. Destruction of gastric parietal cells, which decrease intrinsic factor production
C. Decrease in RBC in the bone marrow
D. Hemolysis of RBC
The nurse would evaluate that the patient understands what triggers allergic rhinitis by which of the following patient responses?
Answer Choices:
A. Topical creams and ointments
B. Airborne pollens and molds
C. Ingested food and medications
D. Injected medications
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 4
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