Difficulty: Medium
Average Score: 80%
Simulated
Passage / Scenario
Vital SignsProvider's Prescriptions
The client has a history of chronic kidney disease (CKD) and chronic obstructive pulmonary disease (COPD). The client has a documented allergy to penicillin.
A nurse is caring for a 50-year-old female client in the emergency department. For each prescriber prescription, click to specify if the prescription is anticipated or contraindicated for this client.
Correct answer
A,B,C,D,E
Rationale
[A, B, C, D, E]
Rationale:
- Clindamycin is an antibiotic used for treating infections. IV route ensures rapid absorption.
- Albuterol is a bronchodilator used for respiratory conditions like asthma.
- Acetaminophen is a common analgesic and antipyretic for pain and fever.
- Oxygen via nasal cannula helps maintain oxygen saturation.
- 0.9% NaCl at 200 mL/hr ensures hydration and electrolyte balance.
Other options:
- F: Piperacillin-tazobactam is an antibiotic, but not initially indicated in the emergency setting.
- G: No information provided to assess its appropriateness.
Rationale:
- Clindamycin is an antibiotic used for treating infections. IV route ensures rapid absorption.
- Albuterol is a bronchodilator used for respiratory conditions like asthma.
- Acetaminophen is a common analgesic and antipyretic for pain and fever.
- Oxygen via nasal cannula helps maintain oxygen saturation.
- 0.9% NaCl at 200 mL/hr ensures hydration and electrolyte balance.
Other options:
- F: Piperacillin-tazobactam is an antibiotic, but not initially indicated in the emergency setting.
- G: No information provided to assess its appropriateness.