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: Pallor refers to paleness of the skin and is not typically associated with an allergic reaction to penicillin G IM.
B.   Dyspepsia: Dyspepsia refers to indigestion or discomfort in the upper abdomen and is not typically associated with an allergic reaction to penicillin G IM.

C.   Bradycardia: Bradycardia refers to a slow heart rate and is not typically associated with an allergic reaction to penicillin G IM.
D.   Urticaria: Urticaria, commonly known as hives, is a characteristic manifestation of an allergic reaction to penicillin G IM. It presents as raised, red, itchy welts on the skin.

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Correct Answer is B

Explanation

A. "You may crush the medication and mix it with applesauce": Lovastatin extended-release tablets should not be crushed or chewed as it may alter the drug's release profile, leading to
potential adverse effects or reduced efficacy. Therefore, this statement is incorrect and should not be included in the teaching.
B. "You will need liver function tests before beginning therapy": Lovastatin is a statin

medication used to lower cholesterol levels. Liver function tests (LFTs) are necessary before starting statin therapy and periodically during treatment to monitor for potential hepatotoxicity.
C. "Avoid consuming dairy products while taking this medication": Lovastatin can be taken with or without food, and there is no specific requirement to avoid dairy products. This statement is not relevant to lovastatin therapy and should not be included in the teaching.
D. "You should take the medication in the morning": Lovastatin can be taken at any time of the day, with or without food. There is no specific requirement to take it in the morning. Therefore, this statement is incorrect and should not be included in the teaching.

A. Ringing in the ears B. Urinary retention C. Increased blood pressure D. Respiratory depression

Correct Answer is D

Explanation

A. Ringing in the ears (tinnitus) is not a common adverse effect of midazolam.

B. Urinary retention is not a common adverse effect of midazolam.

C. Midazolam typically causes decreased blood pressure, not increased blood pressure.

D. Respiratory depression is a potential adverse effect of midazolam, particularly when administered in higher doses or in combination with other central nervous system depressants.

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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 instructing a client who has a new prescription for a daily dose of lovastatin extended release. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is administering midazolam to a client who is undergoing an endoscopic procedure. The nurse should monitor the client for which of the following as an adverse effect of the medication?

Correct Answer is D

Explanation

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