A nurse is assessing a school-age child who is receiving cefazolin. For which of the following adverse effects should the nurse monitor?
Hypotension
Prolonged wound healing
Stevens-Johnson syndrome
Bradypnea
The Correct Answer is C
A. Hypotension is not a common adverse effect of cefazolin. While hypotension can occur in severe allergic reactions, it is not a typical side effect of this medication.
B. Prolonged wound healing is not a primary concern with cefazolin. This antibiotic does not typically affect wound healing directly.
C. Stevens-Johnson syndrome is correct. Cefazolin can cause serious skin reactions, including Stevens-Johnson syndrome, which is a severe, life-threatening condition characterized by blistering and peeling of the skin. The nurse should monitor for signs of this reaction.
D. Bradypnea is not a common adverse effect of cefazolin. Respiratory depression is not typically associated with this medication.
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Related Questions
Correct Answer is A
Explanation
Rationale:
A. Assessing the risk of self-harm or suicide is the top priority when caring for a patient with major depressive disorder. It allows the nurse to intervene immediately if there's a risk of harm.
B. While group therapy can be beneficial for individuals with depression, it's not the first priority when assessing for safety concerns.
C. Administering antidepressants may be part of the treatment plan, but it's essential to assess the immediate risk of self-harm before proceeding with medication administration.
D. Assisting with activities of daily living is important, but it's not the first action to take when assessing for safety in a patient with major depressive disorder.
Correct Answer is A
Explanation
- A) Checking clothing for loose buttons is important because toddlers can easily remove and swallow small objects, which can lead to choking hazards.
- B) Adjusting the water heater temperature to 54° C (129.2° F) is not recommended as it poses a risk of scalding. Safe water temperatures for households with toddlers should be at or below 49° C (120° F).
- C) Placing screens on all windows is a crucial safety measure to prevent toddlers from falling out of open windows, which can lead to serious injuries or fatalities.
- D) Providing balloons for play is not advisable as uninflated or broken balloons can be a choking hazard for toddlers. It is one of the leading causes of choking deaths in children.
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