A nurse is caring for a client who has an infection and has been taking penicillin. Which of the following statements by the client should the nurse identify as the priority to report to the provider?
"I have vomited several times."
"I am having diarrhea."
"I am having trouble swallowing."
"My skin feels itchy all over."
The Correct Answer is C
A. "I have vomited several times.": Vomiting can be a side effect of penicillin, but it is usually manageable and not immediately life-threatening unless severe dehydration occurs.
B. "I am having diarrhea.": Mild diarrhea is a common side effect of antibiotics. It is important to monitor for signs of C. difficile infection, but occasional loose stools are not immediately critical.
C. "I am having trouble swallowing.": Difficulty swallowing may indicate oropharyngeal edema, which can be a sign of a severe allergic reaction to penicillin. This requires immediate attention as it can progress to airway obstruction.
D. "My skin feels itchy all over.": Generalized itching may indicate a mild allergic reaction. While it should be monitored, it is less urgent than symptoms suggesting airway compromise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Be sure to sit when you urinate and double flush the toilet with the lid closed.": This instruction relates to precautions for clients taking medications that can be excreted in urine, such as certain chemotherapeutic agents, and is not relevant to methimazole therapy.
B. "Take precautions in crowds to avoid people who are ill.": Methimazole can cause agranulocytosis, leading to a decreased ability to fight infections. Clients should be advised to avoid large crowds and report symptoms like fever or sore throat promptly.
C. "It is important that you avoid contact with young children and pregnant people.": Methimazole does not require strict avoidance of these populations under normal circumstances, so this is not standard discharge teaching.
D. "Refrain from returning to work for the first few days of therapy.": Routine work restrictions are not necessary when starting methimazole unless the client experiences adverse effects such as severe fatigue or infection.
Correct Answer is ["1.5"]
Explanation
Calculation:
- Calculate the total dose in milligrams (mg).
Ordered dose: 0.02 mg/kg
Patient weight: 30 kg
Total dose (mg) = 0.02 mg/kg x 30 kg
= 0.6 mg.
- Calculate the volume to administer in milliliters (mL).
Total dose: 0.6 mg
Available concentration: 0.4 mg/mL
Volume (mL) = Total Dose (mg) / Available Concentration (mg/mL)
= 0.6 mg / 0.4 mg/mL
= 1.5 mL.
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