A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?

Pallor

Dyspepsia

Bradycardia

Urticaria

Answer and Explanation

The Correct Answer is D

A. Pallor:
Incorrect Explanation: While pallor (pale skin) can be a sign of an allergic reaction, it is not a specific indication of an allergic reaction to penicillin.
Explanation: Pallor can occur for various reasons, including shock or vasovagal responses, and it is not unique to allergic reactions.
B. Dyspepsia:
Incorrect Explanation: Dyspepsia (indigestion or upset stomach) is not a typical sign of an allergic reaction.
Explanation: Allergic reactions are more commonly associated with skin, respiratory, and cardiovascular symptoms, rather than gastrointestinal symptoms like dyspepsia.
C. Bradycardia:
Incorrect Explanation: Bradycardia (slow heart rate) is not a typical indicator of an allergic reaction.
Explanation: Allergic reactions generally do not directly cause bradycardia. Rapid heart rate (tachycardia) can be a symptom of an allergic reaction in some cases.
D. Urticaria:
Correct Answer: Urticaria (hives) is a common and characteristic sign of an allergic reaction, including to penicillin.
Explanation: Urticaria presents as raised, itchy, and often red welts on the skin. It is a classic manifestation of an allergic response and can occur rapidly after exposure to an allergen, including medications like penicillin.

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Correct Answer is B

Explanation

A. Hct 43%
Explanation: Hematocrit (Hct) measures the proportion of blood volume that is occupied by red blood cells. A low Hct level could indicate anemia, which might affect the body's ability to deliver sufficient oxygen to tissues.
B. Creatinine 2.5 mg/dL
Explanation: Elevated creatinine levels indicate potential kidney dysfunction. Tobramycin is primarily excreted by the kidneys, so elevated creatinine levels can increase the risk of tobramycin toxicity due to reduced drug clearance.
C. Sodium 137 mEq/L
Explanation: Sodium level within the normal range. It doesn't directly impact the administration of tobramycin.
D. Hgb 15 g/dL
Explanation: Hemoglobin (Hgb) measures the concentration of oxygen-carrying protein in the blood. A normal hemoglobin level is not directly related to the administration of tobramycin.

A. Decreased vomiting B. Cardiac arrhythmias absent C. Absent Chvostek's sign D. Improved cognition

Correct Answer is D

Explanation

A. Decreased vomiting: This might improve as a result of the hypertonic solution treatment, but it is not a specific indicator of improved sodium levels.
B. Cardiac arrhythmias absent: While improvement in serum sodium levels can help prevent cardiac arrhythmias associated with hyponatremia, the absence of arrhythmias does not necessarily indicate that the sodium levels have normalized.
C. Absent Chvostek's sign: Chvostek's sign is associated with hypocalcemia, not hyponatremia. It is not directly related to the effectiveness of hypertonic solution treatment for hyponatremia.
D. Improved cognition
A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. The nurse should assess for improved cognition as an indicator that the treatment is effective.
Hyponatremia is a condition characterized by low levels of sodium in the blood. Hypertonic solutions, which have a higher concentration of solutes, are used to raise serum sodium levels. When the sodium levels return to a normal range, the client's cognitive function, including mental clarity and awareness, should improve. Other signs of improvement in hyponatremia include the resolution of symptoms related to fluid and electrolyte imbalance, such as nausea, vomiting, and muscle weakness.

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A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory data of a client prior to administering IV tobramycin. Which of the following laboratory values should the nurse report to the provider?

Correct Answer is B

Explanation

A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?

Correct Answer is D

Explanation

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