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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Repeating the prescription back to the provider ensures accuracy and is a best practice.
B. Telephone prescriptions should be transcribed into the appropriate medical record or order entry system, not just the nurse's notes. This ensures the prescription is documented correctly and can be acted upon by other healthcare team members.
C. Asking for clarification when the prescription is not understood is crucial to prevent errors.
D. Telephone prescriptions should be signed by the provider as soon as possible to ensure they are valid and have been accurately communicated.

A. 90 kg B. 95 kg C. 435.6 kg D. 85 kg

Correct Answer is A

Explanation

A. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.
B. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.
C. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.
D. To convert pounds to kilograms, divide the weight in pounds by 2.2. Therefore, 198 lbs ÷ 2.2 = 90 kg.

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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):

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is orienting a newly licensed nurse about obtaining telephone prescriptions. Which of the following statements by the new nurse indicates a need for further teaching?

Correct Answer is B

Explanation

A patient weighs 198lbs. The nurse correctly records his weight in kilograms as:

Correct Answer is A

Explanation

This medication is most commonly used to treat acute angina attacks:

A nurse is assisting with teaching a client about a new medication. Which of the following actions should the nurse take?

The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication. The patient soon starts having difficulty breathing and his blood pressure drops. What is the correct analysis of the patient's condition?

Upon receiving the assignment for the evening, a nurse notices that two of the patients have the same name. The best way to identify two patients on a medical unit who have the same name is to:

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A nurse is collecting data from a client who has heart failure, prior to the administration of furosemide. For which of the following findings should the nurse withhold the medication?

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