A nurse is assessing a client who has a urinary tract infection and is receiving cefaclor. The nurse should monitor the client for which of the following adverse effects of the medication?

Photosensitivity

Blurred vision

Diarrhea

Hypoglycemia

Answer and Explanation

The Correct Answer is C

Rationale:

A. Photosensitivity: Photosensitivity is a known side effect of some antibiotics, particularly tetracyclines, but it is not commonly associated with cefaclor. The nurse should monitor for other more likely adverse effects of cefaclor.

B. Blurred vision: Blurred vision is not a typical side effect of cefaclor. Although some antibiotics may cause visual disturbances, this is not commonly seen with cefaclor, and there is no evidence linking cefaclor to blurred vision.

C. Diarrhea: Diarrhea is a common side effect of cefaclor, as it can disrupt the normal balance of gut bacteria. Antibiotics like cefaclor can cause gastrointestinal disturbances, including diarrhea, due to the killing of both harmful and beneficial bacteria in the intestines.

D. Hypoglycemia: Hypoglycemia is not a typical side effect of cefaclor. Although some medications can lower blood sugar, cefaclor is not generally associated with causing hypoglycemia, making this less relevant for monitoring in a client receiving cefaclor.

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Correct Answer is C

Explanation

Rationale:

A. Flumazenil: Flumazenil is used to reverse the effects of benzodiazepines, not opioids like morphine. It would not be effective in this situation since the client is experiencing respiratory depression due to morphine use.

B. Diphenhydramine: Diphenhydramine is an antihistamine, and while it may help with symptoms like itching, it does not reverse respiratory depression caused by opioids. It is not appropriate for this scenario.

C. Naloxone: Naloxone is an opioid antagonist used to reverse the effects of opioid overdose, including respiratory depression. It is the appropriate medication to administer in this situation to quickly reverse the respiratory depression caused by morphine.

D. Calcium gluconate: Calcium gluconate is used to treat calcium channel blocker overdose or certain types of hyperkalemia, but it is not effective for reversing respiratory depression caused by opioids.

A. "I am sure you will be able to still spend time with your grandchildren." B. "Why do you think you won't be able to play with your grandchildren?" C. "You will not be as active for a couple years." D. "What are some of the activities you like to do with your grandchildren?”

Correct Answer is D

Explanation

Rationale:

A. "I am sure you will be able to still spend time with your grandchildren." While reassurance is important, this statement may not be realistic, and it does not acknowledge the client’s feelings of uncertainty. The client may need more support and guidance regarding their post-surgery recovery and limitations.

B. "Why do you think you won't be able to play with your grandchildren?" This question may sound confrontational or dismissive of the client’s concerns. It is more important to validate the client’s emotions and explore their feelings in a non-judgmental way..

C. "You will not be as active for a couple of years." This statement is overly negative and does not provide an opportunity to explore the client’s emotional needs. Recovery from knee arthroplasty varies and focusing on long-term inactivity could discourage the client.

D. "What are some of the activities you like to do with your grandchildren?" This open-ended question validates the client’s feelings and helps shift the focus towards their interests and goals. It allows the nurse to explore realistic expectations and discuss ways to resume activities after recovery, fostering a positive outlook.

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A nurse is assessing a client who has a urinary tract infection and is receiving cefaclor. The nurse should monitor the client for which of the following adverse effects of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative and develops respiratory depression after receiving morphine for pain control. Which of the following medications should the nurse expect the provider to prescribe?

Correct Answer is C

Explanation

A nurse is caring for a client who is postoperative following a total knee arthroplasty. The client tells the nurse, "I will not be able to play with my grandchildren anymore." Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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