A postoperative patient is undergoing antibiotic therapy. She has never had any problems taking medications in the past. When the nurse hung the second dose of IV antibiotics, the patient suddenly developed hives and itching. The nurse recognized this was most likely a(n):
allergic reaction.
side effect.
toxic effect.
idiosyncratic reaction.
The Correct Answer is A
A. An allergic reaction is an immune response to a medication, even if the patient has taken the medication before without issues. Symptoms like hives and itching are classic signs of an allergic reaction.
B. A side effect is an expected, often mild and predictable reaction to a medication, not typically involving an immune response and severe symptoms like hives.
C. A toxic effect refers to harmful effects from a medication overdose or accumulation in the body, not sudden onset after an appropriate dose.
D. An idiosyncratic reaction is an uncommon response not related to allergies or toxic effects, usually not presenting with hives and itching.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Giving a report outside the client’s room might miss out on involving the patient in their care and ensuring privacy.
B. Bedside reporting allows for direct observation of the patient, involvement in care planning, and verification of information, which can improve safety and communication.
C. A conference area might be suitable but does not allow for the direct involvement of the patient and immediate clarification of concerns.
D. The nurse’s lounge is not an appropriate place for handoff reports as it can be noisy and lacks direct patient involvement.
Correct Answer is B
Explanation
A. The therapeutic effect of Benadryl is to relieve allergy symptoms, not cause drowsiness.
B. Drowsiness is a common side effect of Benadryl, as it is an antihistamine that can cause sedation.
C. Toxic effects refer to harmful effects due to excessive dosing, not typical side effects at therapeutic doses.
D. An allergic reaction would involve symptoms such as rash, itching, or swelling, not drowsiness.
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