A nurse is caring for a client who states that his provider told him he is at risk for anaphylaxis following administration of amoxicillin and that he does not understand what this means.

Which of the following is an appropriate response by the nurse?

Anaphylaxis is an unusual response that can occur due to an inherited predisposition.

Anaphylaxis is a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose.

Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening.

Anaphylaxis will cause you to experience withdrawal symptoms when you discontinue taking the medication.

Answer and Explanation

The Correct Answer is C

Choice A rationale:
Anaphylaxis is not an unusual response due to an inherited predisposition. It’s an acute allergic reaction.
Choice B rationale:
Anaphylaxis is not a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose. It’s an unpredictable and severe allergic reaction.
Choice C rationale:
Anaphylaxis is indeed a severe hypersensitivity or allergic reaction that is life-threatening. It requires immediate medical attention.
Choice D rationale:
Anaphylaxis will not cause withdrawal symptoms when you discontinue taking the medication. It’s an immediate allergic reaction.

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Correct Answer is D

Explanation

Choice A rationale:

Telling the client that the physician wants them to take the medicine may not address the client’s concerns or fears about the medication.

Choice B rationale:

Explaining the purpose of the medication is important, but it does not directly address the client’s refusal.

Choice C rationale:

Asking the client why they are being difficult could escalate the situation and is not a respectful or therapeutic response.

Choice D rationale:

Documenting that the client refuses the medication is the most appropriate action as it accurately records the client’s decision and can inform future care planning.

A. Keep the client NPO after midnight. B. Inspect the electrode pads. C. Instruct the client to breathe normally. D. Administer an analgesic prior to the procedure. E. Use alcohol to wipe the skin before placing the electrodes.

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale:
Keeping the client NPO after midnight is not necessary for an ECG. It is a non-invasive procedure that does not require fasting.
Choice B rationale:
Inspecting the electrode pads is important to ensure good contact with the skin and accurate readings.
Choice C rationale:
Instructing the client to breathe normally during the ECG helps to prevent artifacts in the tracing that could lead to misinterpretation.
Choice D rationale:
Administering an analgesic prior to the procedure is not necessary. An ECG is a painless procedure.
Choice E rationale:
Using alcohol to wipe the skin before placing the electrodes can improve the quality of the ECG by reducing skin impedance.

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A nurse is caring for a client who states that his provider told him he is at risk for anaphylaxis following administration of amoxicillin and that he does not understand what this means. Which of the following is an appropriate response by the nurse?

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A nurse is caring for a client who states that his provider told him he is at risk for anaphylaxis following administration of amoxicillin and that he does not understand what this means.

Which of the following is an appropriate response by the nurse?