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

Cardiac dysrhythmia

insomnia

Answer and Explanation

The Correct Answer is A

A. Laryngeal edema (Correct Answer): Laryngeal edema is a severe allergic reaction that can compromise the airway and lead to respiratory distress. It is a medical emergency and requires immediate intervention. Other signs of a severe allergic reaction may include difficulty breathing, wheezing, and swelling of the face or lips.
B. Nausea: Nausea is a common side effect of many medications, including antibiotics. However, it is not a specific sign of an allergic reaction. Allergic reactions are more likely to involve symptoms such as rash, itching, and swelling.
C. Cardiac dysrhythmia: Cardiac dysrhythmia is not a typical manifestation of an allergic reaction to amoxicillin. Allergic reactions generally involve the immune system and may present with symptoms such as skin rash, itching, or respiratory distress.
D. Insomnia: Insomnia is not a known side effect or manifestation of an allergic reaction to amoxicillin. Allergic reactions are more likely to involve immediate hypersensitivity responses, such as skin reactions or respiratory symptoms.

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Correct Answer is B, D, C, A

Explanation

A. Inject air into the NPH insulin vial: Start by injecting air into the NPH insulin vial. This step prevents creating a vacuum in the vial, making it easier to withdraw the correct dose of insulin.

B. Inject air into the regular insulin vial: After injecting air into the NPH insulin vial, inject air into the regular insulin vial. This step equalizes the pressure within the vial and makes it easier to withdraw the insulin.

C. Withdraw the regular insulin from the vial: Once the air has been injected into the regular insulin vial, withdraw the required dose of regular insulin from the vial.

D. Withdraw the NPH insulin from the vial: After withdrawing the regular insulin, withdraw the required dose of NPH insulin from its vial.

A. Stroke volume B. Urine output C. Blood pressure D. Cardiac output

Correct Answer is C

Explanation

A. Stroke volume: While stroke volume is an important parameter in assessing cardiac function, it may not directly guide the titration of nitroprusside infusion. Blood pressure is a more immediate indicator of the drug's effect on vasodilation.
B. Urine output: Nitroprusside primarily affects the vascular system and is not directly associated with urine output. Monitoring urine output is crucial in assessing renal function, but it is not the primary parameter for titrating a nitroprusside infusion.
C. Blood pressure (Correct Answer): Nitroprusside acts as a direct vasodilator, and its primary effect is on blood vessels, leading to a reduction in blood pressure. Therefore, monitoring blood pressure is essential to titrate the infusion to achieve the desired therapeutic effect.
D. Cardiac output: While nitroprusside's vasodilatory effect may influence cardiac output indirectly, blood pressure is a more immediate and specific parameter to guide the titration of the infusion. Nitroprusside is often titrated to reach a target blood pressure range in hypertensive emergencies.

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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 mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

Correct Answer is B, D, C, A

Explanation

A nurse is preparing to titrate a continuous nitroprusside infusion for a client. The nurse should plan to titrate the infusion according to which of the following assessments?

Correct Answer is C

Explanation

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