A client is admitted to the surgical unit with cholelithiasis, a history of psychosis, and a known allergy to phenothiazines. Which prescription should the nurse discuss with the primary healthcare provider?

Exhibit Allergies:
- Phenothiazines
- Penicillin

Prescriptions:
- Clear liquid diet
- Gallbladder ultrasound today
- IV of LR with KCL 20 mEq at 125 ml/hr
- Thioridazine 50 mg PO TID
- Ciprofloxacin 200 mg IVPB every 12 hours
- Haloperidol 5 mg by mouth twice daily
- Ondansetron 4 mg IM as needed for nausea or vomiting

Options:
1. Thioridazine 50 mg PO TID
2. Ciprofloxacin 200 mg IVPB every 12 hours
3. Haloperidol 5 mg PO BID
4. Ondansetron 4 mg IM PRN for nausea or vomiting

The nurse should discuss the prescription of Thioridazine with the primary healthcare provider because the patient has a known allergy to phenothiazines, and Thioridazine is of this class of drug.

The prescription the nurse should discuss with the primary healthcare provider for a client with cholelithiasis, a history of psychosis, and a known allergy to phenothiazines, is Thioridazine. Thioridazine is a type of phenothiazine, which the patient is allergic to, and this drug should be avoided.

It is important for the healthcare team to coordinate and discuss the best and safest alternatives for this patient, given their specific medical history and current condition. On the other hand, other prescribed medications like Ciprofloxicin, Haloperidol, and Ondansetron do not belong to the phenothiazine class nor show known cross-reactivity with it, hence mostly safe to be given to the patient.

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