Author Question: While the nurse is obtaining a drug history from a patient, the patient tells the nurse that he is ... (Read 73 times)

kodithompson · **on:** Jul 23, 2018

While the nurse is obtaining a drug history from a patient, the patient tells the nurse that he is allergic to penicillins and has also experienced a rash when he took a cephalosporin.

The nurse interprets this information as indicating which of the following?

A) Hypersensitivity
B) Cross-sensitivity
C) Anaphylactoid reaction
D) Anaphylaxis

Question 2

A nurse is conducting an in-service training program for a group of nurses about antibacterial drugs such as penicillins and cephalosporins.

During the question-and-answer period, the audience asks for examples of conditions that can be treated by cephalosporins. Which of the following would the nurse include in the response?

A) Hemolysis
B) Urinary tract infections
C) Nausea and diarrhea
D) Jaundice

amynguyen1221 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: B
Feedback:
Once an individual is allergic to one penicillin, he or she is usually allergic to all of the penicillins. Those allergic to penicillin also have a higher incidence of allergy to the cephalosporins. Allergy to drugs in the same or related groups is called cross-sensitivity. Hypersensitivity is an allergic reaction to one substance. Anaphylactoid reaction is an unusual or exaggerated allergic reaction. Anaphylaxis or anaphylactic shock is a severe form of hypersensitivity that occurs immediately and can be fatal.

Answer to Question 2

Ans: B
Feedback:
Cephalosporins are used to treat respiratory infections, otitis media, urinary tract infections, and bone and joint infections, and prophylactically to treat infections that may result from a sexual assault. Cephalosporins are not used to treat hemolysis or jaundice. Nausea and diarrhea are some of the adverse reactions that can occur when a patient is on cephalosporin therapy.