A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus.Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?
Peripheral edema.
Pallor.
Hypertension.
Pruritus.
The Correct Answer is D
Choice A rationale
Peripheral edema is swelling in the tissues due to fluid accumulation, often related to heart or kidney issues, not typically a sign of anaphylaxis.
Choice B rationale
Pallor refers to paleness and is usually a sign of anemia or shock, not specifically linked to anaphylaxis.
Choice C rationale
Hypertension, or high blood pressure, is not a common manifestation of anaphylaxis. Anaphylaxis typically causes hypotension, or low blood pressure.
Choice D rationale
Pruritus, or severe itching, is a common clinical manifestation of anaphylaxis due to the release of histamines in the body.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Installing grab bars in the shower assists with balance and prevents falls. Grab bars provide stability and support, which is crucial for clients who have had a CVA and may have impaired balance and coordination.
Choice B rationale
Placing a towel in the shower to prevent slipping is not recommended as it can shift and cause more risk. Anti-slip mats or adhesive strips are better options for preventing slips.
Choice C rationale
Hiring a home care aide to perform all ADLs may promote dependency and reduce the client's independence. Encouraging the use of assistive devices and adaptive techniques helps the client regain as much independence as possible.
Choice D rationale
The statement "You will not become fatigued when you use assistive devices" is incorrect. Clients may still experience fatigue, even with assistive devices. It's important to balance activity and rest to prevent overexertion.
Correct Answer is ["10"]
Explanation
Step 1: (25 mg ÷ 12.5 mg) × 5 mL = 2 × 5 mL = 10 mL.
Answer: 10 mL.
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