A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin Gby intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first?
Call the client's provider.
Stop the infusion.
Auscultate the client's breath sounds.
Elevate the head of the bed.
Elevate the head of the bed.
The Correct Answer is B
The client is exhibiting symptoms and signs of anaphylaxis. Anaphylaxis is a severe systemic allergic reaction that occurs due to allergens presenting with (itching) urticaria and sudden onset shortness of breath and/or shock. The first action should be to stop the infusion to prevent worsening the severity of the allergic reaction.
A. Important to allow for further prescription but not a priority
C. Auscultating the lungs allows the nurse to assess for the severity of the reaction but should come after stopping the infusion
D. Elevating the head can improve ventilation but is not a priority
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Related Questions
Correct Answer is D
Explanation
Furosemide is a loop diuretic that blocks water reabsorption in the loop of Henle promoting diuresis. It also causes potassium loss in urine leading to hypokalemia. Checking potassium levels before administration of furosemide prevents worsening already existing hypokalemia.
Hypokalemia causes complications like cardiac dysrhythmias, muscle weakness, and fatigue. The nurse should monitor the client for signs and symptoms of hypokalemia and notify the provider appropriately
A. furosemide does not affect the blood glucose levels
B. furosemide is used to lower blood pressure by reducing venous return.
C. furosemide reduces fluid load by blocking water reabsorption in the kidney
Correct Answer is C
Explanation
Rifampin causes harmless discoloration of bodily fluids, including urine, sweat, saliva, and tears, to an orange-red color. Other side effects include gastrointestinal side effects such as nausea, vomiting, and diarrhea.
A. Rifampin should be taken on an empty stomach, as food can interfere with its absorption.
B. Insomnia is not a common side effect of rifampin
D. Treatment for tuberculosis goes on for at least 6 to 9 months. Treatment duration varies depending on the specific regimen and the severity of the infection.
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