Difficulty: Medium
Average Score: 83%
Simulated
A nurse is reviewing the medical record of a client who is to receive the first dose of cefoxitin, a cephalosporin via intermittent IV bolus Which of the following findings should the nurse Identify as a contraindication for the client to receive cefoxitin and report to the provider?
Correct answer
C
Rationale
Correct Answer: C - Severe allergy to amoxicillin.
Rationale:
1. Cefoxitin is a cephalosporin antibiotic, which can cross-react with penicillin allergies.
2. Amoxicillin is a penicillin antibiotic, and individuals with severe allergies to penicillin are at higher risk of developing allergic reactions to cephalosporins like cefoxitin.
3. Severe allergic reactions can lead to anaphylaxis, a life-threatening condition, making it crucial to avoid administering cefoxitin to individuals with known severe amoxicillin allergies.
Summary:
A: Recent history of diarrhea is not a contraindication to receiving cefoxitin.
B: Normal serum creatinine level does not contraindicate cefoxitin therapy.
D: History of phlebitis following a different IV infusion is not a direct contraindication to cefoxitin.
Rationale:
1. Cefoxitin is a cephalosporin antibiotic, which can cross-react with penicillin allergies.
2. Amoxicillin is a penicillin antibiotic, and individuals with severe allergies to penicillin are at higher risk of developing allergic reactions to cephalosporins like cefoxitin.
3. Severe allergic reactions can lead to anaphylaxis, a life-threatening condition, making it crucial to avoid administering cefoxitin to individuals with known severe amoxicillin allergies.
Summary:
A: Recent history of diarrhea is not a contraindication to receiving cefoxitin.
B: Normal serum creatinine level does not contraindicate cefoxitin therapy.
D: History of phlebitis following a different IV infusion is not a direct contraindication to cefoxitin.