A nurse is assessing a client who is receiving penicillin IV.
For which of the following findings should the nurse report to the provider as a manifestation of anaphylaxis?
Hypertonia.
Wheezing.
Urinary retention.
Increased blood pressure.
The Correct Answer is B
Anaphylaxis is a severe, potentially life-threatening allergic reaction that can occur within seconds or minutes of exposure to an allergen, such as penicillin.
One of the symptoms of anaphylaxis is wheezing, which is caused by the constriction of the airways and a swollen tongue or throat.
Choice A is wrong because hypertonia (increased muscle tone) is not a known symptom of anaphylaxis.
Choice C is wrong because urinary retention (inability to completely empty the bladder) is not a known symptom of anaphylaxis.
Choice D is wrong because increased blood pressure is not a known symptom of anaphylaxis; in fact, anaphylaxis can cause a sudden drop in blood pressure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse should inform the client that they will need to take two or more medications to treat their disease [C].
The treatment of active pulmonary tuberculosis typically involves a combination of several antibiotics for a period of 6 to 12 months.
Choice A is wrong because monitoring kidney function is not typically necessary while taking medication for tuberculosis [A].
Choice B is wrong because tuberculin skin tests are not necessary every 6 months while taking medication for tuberculosis [B].
Choice D is wrong because the duration of treatment for active pulmonary tuberculosis is typically 6 to 12 months, not 3 years [D].
Correct Answer is D
Explanation
Improved cognition should indicate to the nurse that the treatment with a hypertonic solution for hyponatremia is effective.
Hyponatremia can cause confusion and other neurological symptoms, so an improvement in cognition would suggest that the treatment is working to correct the electrolyte imbalance.
Choice A is wrong because Chvostek’s sign is a clinical sign of hypocalcemia, not hyponatremia.
Choice B is wrong because while vomiting can be a symptom of hyponatremia, a decrease in vomiting alone does not necessarily indicate that the treatment is effective.
Choice C is wrong because while hyponatremia can cause cardiac arrhythmias, the absence of arrhythmias alone does not necessarily indicate that the treatment is effective.
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