Practice Question
Patient's data.
Answer Choices:
Correct Answer:
Allergy history
Rationale:
🚫A severe penicillin allergy is a contraindication to administering cefazolin, a first-generation cephalosporin, because of potential cross-reactivity within the β-lactam class.
🚫When the history suggests IgE-mediated reactions (e.g., anaphylaxis, angioedema, bronchospasm, immediate urticaria), the risk of a serious repeat reaction is clinically unacceptable.
🚫Before giving any β-lactam, the nurse should clarify the allergy details, verify reaction type and timing, and notify the provider to select a non-β-lactam alternative for perioperative prophylaxis if the allergy is severe.
🚫Medication safety requires checking the MAR/allergy band and reconciling allergies with new orders—especially for antibiotics—prior to first dose.
🚫Documenting the reaction and communicating it to the surgical and anesthesia teams helps prevent perioperative anaphylaxis and supports safe antibiotic stewardship.
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This question is from LPN Specialty Med-surg Final~2025 which contains 83 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Medical-Surgical
- Answer Choices: 5