A primary care nurse practitioner (NP)sees a 3-year-old child who has a history of recurrent otitis media.The child's parent tells the NP that the child is allergic to penicillin.The NP learns that the child developed an all-over rash 2 days after starting amoxicillin at age 2 years.The NP should:

Question

Quizplus · Accepted Answer

Although it is true that patient report correlates poorly with actual allergy,there is a risk of life-threatening anaphylaxis with a true penicillin allergy.The NP should order a penicillin skin test to verify allergy.If the skin test is positive,the patient should avoid b-lactam antimicrobials.Penicillin desensitization can be used for penicillin-allergic patients who need penicillins.

A Primary Care Nurse Practitioner (NP)sees a 3-Year-Old Child Who