A nurse is caring for a client who is receiving acetaminophen for mild pain.
The nurse should monitor the client for which of the following adverse effects of this medication?

Choice A rationale:

Wheezing can be a sign of an allergic reaction to amoxicillin. It indicates that there may be constriction or inflammation in the airways, which can occur in an allergic reaction.

Choice B rationale:

Bradycardia, or a slower than normal heart rate, isn’t typically associated with an allergic reaction to amoxicillin.

Choice C rationale:

Polyuria, or excessive urination, isn’t typically a sign of an allergic reaction to amoxicillin.

Choice D rationale:

Bruising isn’t typically associated with an allergic reaction to amoxicillin. It could be related to other conditions or medications.

Choice A rationale:

Injecting the medication at least 5 cm (2 in) from the umbilicus is not a standard guideline for IM injections. The site of injection depends on factors such as the volume of medication and patient’s age and muscle mass.

Choice B rationale:

Using the Z-track technique to administer the medication is correct. This technique helps to seal the medication in muscle tissue, reducing leakage into subcutaneous tissue.

Choice C rationale:

Giving the medication without aspirating prior to injection is not recommended. Aspiration ensures that the needle is not in a blood vessel before injecting.

Choice D rationale:

Administering the medication with a 27-gauge '/,-inch needle may not be appropriate for an IM injection, especially for adults. A longer and larger gauge needle is typically used for IM injections.