The nurse is preparing to give a dose of a cephalosporin ...

[tuffie]

The nurse is preparing to give a dose of a cephalosporin medication to a patient who has been receiving the antibiotic for 2 weeks. The nurse notes ulcers on the patient's tongue and buccal mucosa. Which action will the nurse take?
 
  a. Hold the drug and notify the provider.
  b. Obtain an order to culture the oral lesions.
  c. Gather emergency equipment to prepare for anaphylaxis.
  d. Report a possible superinfection side effect of the cephalosporin.

Question 2

A patient is receiving high doses of a cephalosporin. Which laboratory values will this patient's nurse monitor closely?
 
  a. Blood urea nitrogen (BUN), serum creatinine, and liver function tests
  b. Complete blood count and electrolytes
  c. Serum calcium and magnesium
  d. Serum glucose and lipids

[jharrington11]

Answer to Question 1

ANS: D
The patient's symptoms may indicate a superinfection and should be reported to the physician so it can be treated; however, the drug does not need to be held. It is not necessary to culture the lesions. The symptoms do not indicate impending anaphylaxis.

Answer to Question 2

ANS: A
Cefazolin will produce an increase in the patient's BUN, creatinine, AST, ALT, ALP, LDH, and bilirubin.

[tuffie]

Excellent

[daiying98]

Gracias!