A nurse is assisting in the care of a client who is receiving newly prescribed IV antibiotics. Which of the following findings should the nurse report immediately?
Small, raised vesicles over the body
Rhinitis
Itching of the skin
Severe wheezing
The Correct Answer is D
Rationale:
A. Small, raised vesicles over the body may indicate an allergic reaction but are not typically associated with IV antibiotics.
B. Rhinitis may indicate an allergic reaction but is not typically associated with IV antibiotics.
C. Itching of the skin may indicate an allergic reaction but is not typically associated with IV antibiotics.
D. Severe wheezing may indicate an allergic reaction or anaphylaxis and should be reported immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Using the incentive spirometer is important for preventing atelectasis, but it does not prevent orthostatic hypotension.
B. Dangling the legs over the side of the bed before standing helps reduce the risk of orthostatic hypotension by allowing the body to gradually adjust to the change in position.
C. Increasing protein intake is important for wound healing and tissue repair, but it does not prevent orthostatic hypotension.
D. Performing regular isometric exercises is important for maintaining muscle strength and mobility, but it does not prevent orthostatic hypotension.
Correct Answer is C
Explanation
Rationale:
A. Hyperthermia may indicate a transfusion reaction, but dyspnea is a more immediate concern.
B. Urticaria may indicate a mild allergic reaction, but dyspnea is a more immediate concern.
C. Dyspnea is a sign of a possible transfusion reaction and should be reported immediately to the provider.
D. A headache may indicate a mild reaction to the blood transfusion, but dyspnea is a more immediate concern.
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