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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

This is the recommended dosage for cyanocobalamin nasal spray for pernicious anaemia and vitamin B12 deficiency. Cyanocobalamin nasal gel is used to prevent a lack of vitamin B12 that may be caused by various factors.

Choice A is wrong because the duration of treatment depends on the individual’s response and blood levels of vitaminB. Some people may need to use this medication for longer than 6 months.

Choice C is wrong because there is no need to lie down for 1 hour after administering the medication.

This may cause nasal irritation or drainage.

Choice D is wrong because using a nasal decongestant 15 minutes before the medication may interfere with the absorption of cyanocobalamin. If you have a stuffy nose, you should talk to your doctor about alternative ways to take vitaminB.

A. Store the remaining half of the pill in the automated medication dispensing system. B. Dispose of the remaining medication while another nurse observes. C. Return the remaining medication to the facility’s pharmacy. D. Place the remaining half of the pill in the unit-dose package.

Correct Answer is B

Explanation

This is because hydromorphone is a controlled substance and any unused portion should be discarded in the presence of a witness. Some possible explanations for the other choices are:

Choice A is wrong because storing the remaining half of the pill in the automated medication dispensing system could lead to errors in dosage or diversion of the drug.

Choice C is wrong because returning the remaining medication to the facility’s pharmacy is not a recommended practice for controlled substances and could also result in errors or diversion.

Choice D is wrong because placing the remaining half of the pill in the unit-dose package could compromise the integrity and stability of the medication and expose it to environmental factors.

Normal ranges for hydromorphone are not applicable as it is a synthetic opioid analgesic that does not have a therapeutic level.

However, some factors that may affect its pharmacokinetics and pharmacodynamics are age, weight, renal function, liver function, genetic polymorphisms, and drug interactions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has pernicious anemia to self-administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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