A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?

Hematuria

Pruritus

Slurred speech

Tremor

Answer and Explanation

The Correct Answer is B

A) Hematuria: Hematuria, or blood in the urine, is not typically associated with an allergic reaction to cefaclor. Instead, it may indicate other conditions such as urinary tract infection, kidney stones, or trauma to the urinary tract. While allergic reactions can affect the urinary system, hematuria is not a common manifestation.

B) Pruritus: Pruritus, or itching, is a classic symptom of an allergic reaction to medications, including antibiotics like cefaclor. Itching may occur on the skin or mucous membranes and can range from mild to severe. It is often accompanied by other allergic symptoms such as rash, hives, or swelling. Therefore, the presence of pruritus should alert the nurse to a potential allergic reaction to cefaclor.

C) Slurred speech: Slurred speech is not a typical manifestation of an allergic reaction to cefaclor. It is more commonly associated with neurological conditions, intoxication, stroke, or side effects of certain medications, rather than an allergic response to antibiotics.

D) Tremor: Tremor, or involuntary shaking, is not a characteristic sign of an allergic reaction to cefaclor. Tremors can have various causes, including neurological disorders, medication side effects, or metabolic abnormalities. While tremors can occur in severe allergic reactions (anaphylaxis), they are not among the primary symptoms.

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Correct Answer is ["50"]

Explanation

Volume delivered per minute:
Flow rate (mL/hr) = 200 mL/hr (from previous steps)
Volume per minute (mL/min) = Flow rate (mL/hr) / 60 minutes/hour
Volume per minute (mL/min) = 200 mL/hr / 60 minutes/hour = 3.33 mL/min (round to two decimals for accuracy)

Convert volume per minute to gtt/min using the drop factor:
Drop factor = 15 gtt/mL
Volume per minute (mL/min) = 3.33 mL/min (rounded value)

Flow rate (gtt/min) = Volume per minute (mL/min) x Drop factor (gtt/mL)
Flow rate (gtt/min) = 3.33 mL/min x 15 gtt/mL
Flow rate (gtt/min) = 50 gtt/min (round to nearest whole number as requested)

Therefore, the nurse should set the manual IV infusion to deliver approximately 50 gtt/min.

A. WBC count B. INR C. BUN D. Potassium level

Correct Answer is A

Explanation

A) WBC count: Filgrastim is a granulocyte colony-stimulating factor (G-CSF) medication used to stimulate the production of white blood cells (WBCs), particularly neutrophils, in individuals with neutropenia. Therefore, monitoring the WBC count is essential to evaluate the effectiveness of filgrastim therapy. An increase in WBC count indicates a response to treatment, helping to prevent or manage neutropenic complications such as infections.

B) INR: The international normalized ratio (INR) is a laboratory test used to monitor the effectiveness of anticoagulant therapy, particularly warfarin (Coumadin). It measures the clotting ability of the blood and is not directly related to filgrastim therapy. Therefore, monitoring the INR is not appropriate for evaluating the effectiveness of filgrastim treatment.

C) BUN: Blood urea nitrogen (BUN) is a laboratory test used to assess kidney function and hydration status. It measures the concentration of urea nitrogen in the blood and is not directly related to filgrastim therapy. Monitoring BUN levels may be indicated for assessing renal function in certain clinical contexts but is not specific to evaluating the effectiveness of filgrastim treatment.

D) Potassium level: Monitoring potassium levels is important for assessing electrolyte balance and kidney function but is not directly related to filgrastim therapy. Potassium levels may be affected by various factors, including medications, diet, and renal function. However, they do not directly reflect the effectiveness of filgrastim in stimulating WBC production.

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A nurse is assessing a client who has a prescription for cefaclor. Which of the following findings should the nurse recognize as an indication of an allergic reaction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

Correct Answer is A

Explanation

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