A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction?
Laryngeal edema.
Nausea.
Insomnia.
Cardiac dysrhythmia.
The Correct Answer is A
Laryngeal edema is a sign of a severe allergic reaction to amoxicillin that can cause difficulty breathing and may be life threatening.
The nurse should stop the medication and call for emergency assistance. Choice B is wrong because nausea is a common side effect of amoxicillin, not an allergic reaction.
Choice C is wrong because insomnia is not related to amoxicillin use. Choice D is wrong because cardiac dysrhythmia is not a typical symptom of an allergic reaction to amoxicillin.
It may be caused by other factors, such as underlying heart disease or electrolyte imbalance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a.While weight changes can be concerning, they are not typically life-threatening and can occur as a common side effect of antidepressants, including citalopram. Monitoring is important, but it does not require immediate reporting.
b.This is the priority to report because confusion can indicate a serious reaction to the medication, such as serotonin syndrome, especially if it occurs in conjunction with other symptoms like agitation, hallucinations, or rapid heart rate. Confusion can also signal worsening mental status, which is critical for someone with major depression.
c.This refers to teeth grinding, which can occur with certain antidepressants. While it should be monitored and possibly addressed with interventions, it is generally not an immediate concern compared to confusion.
d.Sleep disturbances can be a side effect of citalopram and may need adjustment of treatment or recommendations for sleep hygiene, but they are not as urgent as confusion.
Correct Answer is A
Explanation
The nurse should instruct the client to avoid drinking beverages while sucking on a nicotine lozenge because this can interfere with the absorption of nicotine and reduce its effectiveness. Some possible explanations for the other choices are:
Choice B is wrong because chewing nicotine gum for 10 minutes before spitting it out is too short.
The recommended duration is at least 30 minutes to allow enough nicotine to be released and absorbed through the lining of the mouth.
Choice C is wrong because changing the nicotine patch every other day is not frequent enough.
The patch should be changed daily and applied to a different skin site to prevent irritation and ensure a steady dose of nicotine.
Choice D is wrong because administering 2 sprays of nicotine nasal spray in each nostril with each dose is too much.
The recommended dose is one spray per nostril, up to five times per hour or 40 times per day.
Using too much nasal spray can cause side effects such as nasal irritation, sneezing, coughing, headache, or nausea.
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