A nurse is collecting data from a client who is taking aspirin. Which of the following findings should the nurse report to the provider?
Headache
BP 120/70 mm Hg
Hct 43%
Rhinitis
The Correct Answer is D
A. Headache - Headache is a common side effect of aspirin and is not typically a cause for concern.
B. BP 120/70 mm Hg - This blood pressure reading is within the normal range and is not a cause for concern related to aspirin.
C. Hct 43% - Elevated hematocrit is not an adverse effect of aspirin.
D. Rhinitis is a sign of hypersensitivity to aspirin and can indicate a risk of developing more severe reactions, such as bronchospasm or anaphylaxis. The nurse should report this finding to the provider and stop the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Naloxone administration may lead to an increase in blood pressure, not a decrease.
B. While pain relief might occur, the primary goal of naloxone is to reverse respiratory depression, not to relieve pain.
C. Naloxone is an opioid antagonist that reverses opioid-induced respiratory depression, so an increased respiratory rate indicates its effectiveness.
D. Naloxone does not typically affect body temperature in a significant way.
Correct Answer is ["1"]
Explanation
To answer this question, you need to perform the following steps:
Convert the client's weight from pounds to kilograms by dividing by 2.2. 110 lb / 2.2 = 50 kg.
Calculate the dose of amikacin in milligrams by multiplying the client's weight by the prescribed dose per kilogram. 50 kg x 5 mg/kg = 250 mg.
Calculate the volume of amikacin in milliliters by dividing the dose in milligrams by the concentration of the injection. 250 mg / 250 mg/mL = 1 mL.
Round the answer to the nearest whole number. The nurse should administer 1 mL of amikacin IM to the client.
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