# The nurse compares the allergy record with active medication orders. Click the order that requires clarification before administration.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=499742&lang=en  
> language: en  
> subject: Adverse Effects/Contraindications/Interactions  
> category: PPT

## Question

The nurse compares the allergy record with active medication orders. Click the order that requires clarification before administration.

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## Explanation

Amoxicillin is a penicillin-class antibiotic. An active amoxicillin order conflicts with the documented penicillin anaphylaxis and must be clarified before administration.

## In-depth explanation

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 scenario

Clinical situation
The nurse compares the allergy record with active medication orders.

What the nurse should notice
Amoxicillin is a penicillin-class antibiotic. An active amoxicillin order conflicts with the documented penicillin anaphylaxis and must be clarified before administration.

Transfer to practice
Before giving a medication, compare the allergy, reaction severity, drug class, and current order; stop and clarify a conflict.

## Key concepts

- **Medication reconciliation** — Comparison of current orders with the client's medication and allergy records.
- **Anaphylaxis** — A severe, potentially life-threatening systemic allergic reaction.

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