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 C

Explanation

A) A child who recently received the human papillomavirus vaccine: There is no contraindication for administering the varicella vaccine to a child who recently received the human papillomavirus vaccine. These vaccines target different viruses and can typically be given concurrently without issue.

B) An older adult client living in a long-term care facility: Older adults living in long-term care facilities are at increased risk of complications from varicella infection and are, therefore, recommended to receive the varicella vaccine unless contraindicated due to specific health conditions.

C) A client who has AIDS: Clients with AIDS or other severe immunosuppressive conditions should not receive live virus vaccines like the varicella vaccine due to the risk of vaccine-induced disease. These individuals may have compromised immune systems, increasing the risk of adverse reactions or inadequate immune response to the vaccine.

D) A young adult who has an allergy to eggs: While some vaccines, including the varicella vaccine, are grown in eggs, having an allergy to eggs is not an absolute contraindication for receiving the vaccine. Most individuals with egg allergies can safely receive the varicella vaccine under medical supervision, as the risk of an allergic reaction is low.

A. Pain level B. Respiratory rate C. Heart rate D. Temperature

Correct Answer is C

Explanation

A) Pain level: Assessing the client's pain level may be important for administering analgesic medications, but it is not directly related to the administration of propranolol. Propranolol is a beta-blocker primarily used to treat conditions such as hypertension, angina, and certain cardiac arrhythmias, so assessing pain level is not the priority.

B) Respiratory rate: While monitoring respiratory rate is important in various clinical situations, propranolol administration does not typically have a direct effect on respiratory function. Therefore, assessing the respiratory rate specifically before administering propranolol may not be as relevant as other vital signs.

C) Heart rate: Propranolol is a beta-blocker that primarily works by slowing the heart rate and reducing the workload on the heart. Therefore, it is crucial for the nurse to assess the client's heart rate prior to administering propranolol to ensure it is within the appropriate range. Administering propranolol to a client with bradycardia or a significantly low heart rate could exacerbate this condition and lead to adverse effects.

D) Temperature: While monitoring temperature is important for assessing for signs of infection or other systemic issues, it is not directly relevant to the administration of propranolol. Propranolol primarily affects cardiovascular function, so assessing temperature is not typically a priority before administering this medication

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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

A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?

Correct Answer is C

Explanation

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

Correct Answer is C

Explanation

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