A nurse is caring for a 50-year-old female client in the emergency department. Exhibits For each prescriber prescription, click to specify if the prescription is anticipated or contraindicated for this client.

Indicated Actions: Clindamycin 600 mg IV every 8 hours: This is an appropriate antibiotic choice for someone with a penicillin allergy. Clostridium infections and Streptococcus species can be treated with clindamycin. Albuterol 2.5 mg/3 mL aerosol: This medication is used to relieve dyspnea by bronchodilation, which is beneficial for a client with chronic obstructive pulmonary disease. Acetaminophen 325 mg PO: This is used to manage fever. The client's temperature is elevated at 38.7°C (101.7°F), so this prescription is indicated. Oxygen via nasal cannula at 8 L/min: The client's SpO₂ level has dropped to 87% on room air, indicating the need for supplemental oxygen to maintain adequate oxygen saturation. 0.9% sodium chloride (NaCl) at 200 mL/hr: Intravenous fluid administration is necessary to maintain hydration and improve blood pressure in a client with hypotension. Not Indicated Action: Piperacillin-tazobactam 4500 mg IV: This antibiotic is contraindicated due to the client's documented penicillin allergy. Piperacillin is a penicillin derivative, and administering it could trigger a severe allergic reaction. Each of these actions has been considered carefully based on the client's medical history, current condition, and standard medical practices.