ATI RN Pharmacology Proctored Exam -Nurselytic

Correct Answer: C

Rationale: The correct answer is C: The client has a history of a severe penicillin allergy. This is the priority for the nurse to report because cefuroxime belongs to the cephalosporin class of antibiotics, which has a cross-reactivity with penicillins. Individuals with a history of severe penicillin allergy are at an increased risk of also being allergic to cephalosporins like cefuroxime. This can lead to potentially life-threatening allergic reactions. Reporting this information to the provider is crucial to avoid prescribing a medication that could harm the client.


Choice A (BUN of 18 mg/dL) is not directly related to the prescription of cefuroxime for sinusitis.
Choice B (client takes an aspirin daily) is important but not as critical as the potential allergic reaction to cefuroxime.
Choice D (client reports a history of nausea with cefuroxime) is relevant but does not pose an

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