A nurse is caring for a client who has a prescription for ceftriaxone. The nurse should monitor the client for which of the following adverse effects?
Constipation
Maculopapular rash
Pitting edema
Concentrated urine
The Correct Answer is B
B. Maculopapular rash is a potential adverse effect of ceftriaxone. It is a type of skin rash characterized by flat, red areas (macules) and raised, bumpy areas (papules). If a client develops a rash while taking ceftriaxone, it should be reported to the healthcare provider for evaluation.

A. Constipation is not a common adverse effect of ceftriaxone. It is more commonly associated with other medications or medical conditions unrelated to ceftriaxone.
C. Pitting edema is not a common adverse effect of ceftriaxone. It may occur as a result of other medical conditions or medications, but it is not specifically associated with ceftriaxone.
D. Concentrated urine is not a common adverse effect of ceftriaxone.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Acetylcysteine, also known as N-acetylcysteine (NAC), is the antidote for acetaminophen overdose. It works by replenishing depleted glutathione stores in the liver and preventing or reversing hepatotoxicity caused by acetaminophen overdose. Acetylcysteine should be administered as soon as possible after an acetaminophen overdose to maximize its effectiveness in preventing liver damage.
A. Monitoring amylase and lipase levels is not directly related to acetaminophen overdose. Amylase and lipase are pancreatic enzymes that are typically monitored to assess pancreatic function and diagnose conditions such as pancreatitis.
C. Obtaining a chest x-ray is not typically indicated for acetaminophen overdose. Acetaminophen overdose primarily affects the liver, and the manifestations are predominantly related to hepatotoxicity.
D. Naloxone is an opioid antagonist used to reverse opioid overdose by blocking opioid receptors. It is not indicated for acetaminophen overdose. Acetaminophen overdose does not involve opioid receptors, and naloxone would not be effective in treating acetaminophen toxicity.
Correct Answer is D
Explanation
D. Atenolol is a beta-blocker used to treat hypertension and lower heart rate. Given the client's low heart rate of 54 beats per minute (bradycardia), there is a potential concern about further lowering the heart rate with atenolol. Therefore, the nurse should consider withholding atenolol and consulting with the healthcare provider regarding the low heart rate before administering the medication.
A. Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension.
B. Hydrochlorothiazide is a diuretic commonly used to treat hypertension. With a blood pressure of 140/80 mm Hg, it is within the normal range for a client with chronic hypertension. Therefore, there is no immediate need to withhold hydrochlorothiazide based on the current blood pressure reading.
C. Aspirin is commonly used for cardiovascular protection in clients with hypertension. It is not typically withheld based on blood pressure readings alone unless there are other contraindications or concerns.
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