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 A

Explanation

A. This statement indicates correct understanding. Remaining upright after taking ferrous gluconate reduces the risk of esophageal irritation or discomfort, which can occur if the medication refluxes into the esophagus. This is an important teaching point for clients taking iron supplements.

B. This statement is incorrect. Antacids can interfere with the absorption of ferrous gluconate by altering stomach acidity, which is necessary for optimal iron absorption. Clients should avoid taking antacids within two hours of iron supplements.

C. This statement is incorrect. Milk and other calcium-containing products inhibit the absorption of iron. It is recommended to take ferrous gluconate with water or a source of vitamin C, such as orange juice, to enhance absorption.

D. This statement is incorrect. Black stools are a common and harmless side effect of taking iron supplements and do not typically require notifying the provider unless accompanied by other symptoms like abdominal pain or blood in the stool.

A. Weight loss B. Increased sleeping C. Warmer skin D. Increase in pulse rate

Correct Answer is B

Explanation

A. Methimazole can lead to weight gain rather than weight loss.

B. Methimazole can cause hypersomnolence.

C. Methimazole does not typically affect skin temperature.

D. Methimazole is an antithyroid medication used to treat hyperthyroidism, including Graves' disease and can cause a decrease in heart rate.

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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 teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is B

Explanation

A nurse is assessing a client who has muscarinic agonist poisoning. Following administration of atropine, which of the following findings should indicate to the nurse that the treatment has been effective?

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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?

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