A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following medications should the nurse plan to administer?

Diphenhydramine<br>

Spironolactone

Desmopressin

Metoclopramide

Answer and Explanation

The Correct Answer is A

A Diphenhydramine is an antihistamine, which helps reduce allergic reactions like hives and urticaria.

B. Spironolactone is a diuretic and potassium-sparing aldosterone antagonist, primarily used for managing high blood pressure and fluid retention. It's not typically used for allergic reactions.

C. Desmopressin helps control bleeding and is not suitable for allergic reactions.

D. Metoclopramide helps with nausea and vomiting and wouldn't be the first choice for hives and urticaria.

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Correct Answer is C

Explanation

C. This statement shows understanding of precautions to prevent exposure to toxoplasmosis, a common opportunistic infection in individuals with compromised immune systems, including those with AIDS. Toxoplasmosis can be transmitted through handling cat feces.

A This statement suggests a general intention to improve nutrition, which is beneficial for overall health but does not specifically address infection control or prevention of opportunistic infections related to AIDS. While a healthy diet supports immune function indirectly, it does not directly demonstrate understanding of specific precautions needed due to AIDS.

B. This statement reflects a misunderstanding because HIV (Human Immunodeficiency Virus), which causes AIDS, does not survive long outside the body and cannot be transmitted through clothing.

Sterilizing clothes at a dry cleaner is unnecessary for preventing the spread of HIV.

D HIV can be effectively killed with regular household cleaners (such as bleach solutions), but alcohol alone may not be sufficient. Proper disposal of contaminated materials is important, but the method described does not accurately reflect infection control measures for HIV.

A. Remind the client of the importance of medication adherence. B. Tell the client to avoid places where there are large crowds of people. C. Initiate a referral for the client to a home health agency. D. Instruct the client to avoid eating raw vegetables.

Correct Answer is C

Explanation

C. This action demonstrates advocacy by ensuring the client has access to necessary support services that can help them maintain independence and receive adequate care in their home environment.

A Reminding the client about medication adherence is important for the client's health management, but they do not directly advocate for the client's autonomy and support system.

B. While this advice is prudent for reducing infection risk, it may limit the client's social interactions and independence. Advocacy involves balancing health promotion with the client's autonomy and quality of life.

D. Raw vegetables may carry a risk of foodborne infections, which can be more severe for individuals with compromised immune systems, such as those with AIDS.

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A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following medications should the nurse plan to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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