After receiving Nembutal PO at bedtime, a client is wide awake all night instead of going to sleep. What kind of adverse reaction to a drug does this situation represent?

Toxic effect

Drug allergy

Idiosyncrasy

Drug tolerance

Answer and Explanation

The Correct Answer is C

Choice A reason: Toxic effects involve overdose symptoms like coma; staying awake isn’t toxicity, as Nembutal’s sedative intent is reversed, not exaggerated, in this reaction.

Choice B reason: Drug allergy causes immune responses (e.g., rash); insomnia isn’t allergic, but a paradoxical effect, differing from hypersensitivity reactions entirely.

Choice C reason: Idiosyncrasy is an unexpected reaction; Nembutal, a barbiturate, should sedate, but wakefulness is an abnormal, individual response, fitting this category precisely.

Choice D reason: Tolerance reduces efficacy over time; this acute, opposite reaction to a sedative isn’t tolerance, but an immediate, unpredictable drug response.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Withholding and rechecking ensures safety; a color change signals a potential error, and verifying the MAR against orders prevents administering the wrong drug.

Choice B reason: Assuming a change is risky; without confirmation, administering an unverified drug could harm the patient if it’s not the intended prescription.

Choice C reason: Administering then checking later endangers the patient; a wrong drug could cause adverse effects, and delayed verification violates safety protocols.

Choice D reason: Describing and giving without verification is unsafe; the red tablet may not match the order, risking incorrect treatment or allergic reactions.

A. 5 mL B. 7 mL C. 10 mL D. 14 mL

Correct Answer is B

Explanation

Choice A reason: 5 mL gives 125 mg; this underdoses the 175 mg order, reducing Ceclor’s antibacterial effect, risking persistent ear infection due to insufficient concentration.

Choice B reason: 7 mL is correct; 175 mg divided by 125 mg/5 mL equals 7 mL, delivering the exact cephalosporin dose for effective otitis media treatment.

Choice C reason: 10 mL provides 250 mg; this overdoses Ceclor, risking gastrointestinal upset or resistance, exceeding the therapeutic need for the infection safely.

Choice D reason: 14 mL yields 350 mg; this extreme overdose amplifies side effects like diarrhea or toxicity, far beyond the ordered 175 mg dose requirement.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

After receiving Nembutal PO at bedtime, a client is wide awake all night instead of going to sleep. What kind of adverse reaction to a drug does this situation represent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After the nurse hands a client a medication, the client says, "What is this red tablet for? I have always taken a yellow pill." What is the most appropriate action for the nurse to take?

Correct Answer is A

Explanation

The physician orders Ceclor 175 mg po for an ear infection. After reconstitution, the medication is available as 125 mg/5 mL. How many milliliters will the nurse administer?

Correct Answer is B

Explanation

The patient's medication is ordered to be administered TID. Which times will be entered into the patient's medication schedule?

Why does the nurse administer lorazepam intramuscularly (IM) to the patient rather than into the subcutaneous tissue?

To ensure the nurse administers medications to the right client, which method of identification is most appropriate?

A client is to receive a medication at 9:00 A.M. To prevent a medication error by administering at the incorrect time, the nurse can administer the medication anytime between:

After receiving Nembutal PO at bedtime, a client is wide awake all night instead of going to sleep. What kind of adverse reaction to a drug does this situation represent?

A patient in pain requests the prescribed pain medication, which is an opioid. Which nursing assessment is essential before administering the opioid?

In addition to the dorsogluteal and ventrogluteal muscles, which of these sites can safely be used for intramuscular injections?

Which nursing action is appropriate when pulling the plunger of the syringe back prior to administering medication and blood is aspirated in the syringe?