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What should the nurse's priority intervention be when considering best practice?

A physician has ordered penicillin G potassium (Pfizerpen), I.V., for a client with a severe streptococcal infection. A nurse determines that the client may be allergic to penicillin.
1. Administering the penicillin G potassium as ordered.
2. Administering the penicillin G potassium and staying alert for any reaction.
3. Holding the penicillin G potassium and notifying the physician that the client may have an allergy to penicillin.
4. Administering the penicillin G potassium but notifying the pharmacist that the client might experience an allergic reaction.

This question is part of basic physical care (part 1)

Asked by Alexander, Last updated: Aug 11, 2020

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John Smith

John Smith

Answered Sep 09, 2016

Holding the penicillin g potassium and notifying the physician that the client may have an allergy to penicillin-rationale: the nurse should hold the penicillin g potassium, even if the client isnt sure hes allergic to penicillin, and notify the physician so he may order a different antibiotic. many clients cant act as their own advocates; they rely on nurses to protect their rights. administering penicillin g potassium could cause a life-threatening reaction. administering the medication, then watching for a reaction or notifying the pharmacist that a reaction might occur, isnt best practice. if a client is allergic to penicillin, a nurse should alert the pharmacist and label the clients chart appropriately.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: applicationreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 559.
 

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