The nurse compares the allergy record with active medication orders. Click the order that requires clarification before administration.
Hot Spot
Choose your responses, then check the answer.
Explanation
Amoxicillin is a penicillin-class antibiotic. An active amoxicillin order conflicts with the documented penicillin anaphylaxis and must be clarified before administration.
Quick answer Amoxicillin is a penicillin-class antibiotic. An active amoxicillin order conflicts with the documented penicillin anaphylaxis and must be clarified before administration.
Why this is correct Amoxicillin belongs to the penicillin class. An active order conflicts with the documented penicillin anaphylaxis and must be clarified before administration.
Easy analogy or mental picture Use a two-column safety check: place allergies on one side and active medications on the other, then connect every medication to its drug class.
Memory hook Amoxicillin conflicts with the documented penicillin anaphylaxis.
NCLEX decision rule Before giving a medication, compare the allergy, reaction severity, drug class, and current order; stop and clarify a conflict.
Why the other choices are wrong The other active orders do not match the documented penicillin allergy in this display; the amoxicillin row creates the direct class conflict.
References
[1]
MedlinePlus: Amoxicillin
Clinical situationThe nurse compares the allergy record with active medication orders.
What the nurse should noticeAmoxicillin is a penicillin-class antibiotic. An active amoxicillin order conflicts with the documented penicillin anaphylaxis and must be clarified before administration.
Transfer to practiceBefore giving a medication, compare the allergy, reaction severity, drug class, and current order; stop and clarify a conflict.
Medication reconciliation — Comparison of current orders with the client's medication and allergy records.
Anaphylaxis — A severe, potentially life-threatening systemic allergic reaction.