A nurse is caring for a client who is receiving ceftriaxone intravenously.
Which of the following manifestations should the nurse identify as an allergic reaction?

Polyuria.

Hypotension.

Nausea.

Bradycardia.

Answer and Explanation

The Correct Answer is B

This is because hypotension (low blood pressure) can be a sign of anaphylaxis, which is a severe allergic reaction that can occur with ceftriaxone.

Choice A is wrong because polyuria (increased urination) is not a common sign of an allergic reaction to ceftriaxone.
Choice C is wrong because nausea can be a side effect of ceftriaxone but is not specific to an allergic reaction.
Choice D is wrong because bradycardia (slow heart rate) is not a common sign of an allergic reaction to ceftriaxone.

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Correct Answer is C

Explanation

First, convert the client’s weight from pounds to kilograms: 121 lb /.2 = 55 kg. Then, calculate the dose in mg: 1 mg/kg * 55 kg = 55 mg.

Finally, use the ratio of available enoxaparin to calculate the volume to administer: (55 mg / 60 mg) * 0.6 mL = 0.55 mL.

Rounded to the nearest tenth, this is 0.6 mL.

Choice A is wrong because it is less than the calculated dose of 0.6 mL.

Choice B is wrong because it is equal to the calculated dose of 0.6 mL but not rounded to the nearest tenth.

Choice D is wrong because it is greater than the calculated dose of 0.6 mL.

A. Weight loss. B. Bruxism. C. Insomnia. D. Confusion. E. Confusion.

Correct Answer is D

Explanation

Confusion is the priority for the nurse to report to the provider because it can be a sign of a serious side effect of citalopram.

Choice A is wrong because weight loss is not mentioned as a serious side effect of citalopram.
Choice B is wrong because bruxism is not mentioned as a serious side effect of citalopram.
Choice C is wrong because insomnia is a common side effect of citalopram but not considered a serious side effect that requires immediate medical attention.

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A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?

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A nurse is caring for a client who is receiving ceftriaxone intravenously.
Which of the following manifestations should the nurse identify as an allergic reaction?