Exhibits
The nurse is assessing the client to update the plan of care.
Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.
The nurse determines that the client's is experiencing
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"A"}
Blank 1: Adverse drug reaction: The client’s symptoms of dizziness, headache, burning sensation, redness, flushing, hives, and itching after the administration of vancomycin indicate a severe allergic reaction, likely "Red Man Syndrome," which is an adverse drug reaction.
Blank 2: Antibiotic: The blood pressure changes (initial drop to 108/46 mmHg) are most likely due to the adverse reaction to the vancomycin infusion. The hypotension occurred as a direct result of the antibiotic administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.8"]
Explanation
Volume (mL) = Desired dose (mg) / Concentration (mg/mL)
In this case:
- Desired dose = 80 mg
- Concentration = 60 mg/0.6 mL
Plugging the values into the formula:
- Volume = 80 mg / (60 mg/0.6 mL) = 0.8 mL
Therefore, the nurse should administer 0.8 mL of enoxaparin sodium.
Correct Answer is B
Explanation
A. Rivastigmine is used to improve cognitive function in Alzheimer's disease and not specifically to promote sleep, so suggesting a medication change is not appropriate without further assessment.
B. Insomnia can be a side effect of rivastigmine, especially when starting the medication. It is often temporary and should improve as the body adjusts.
C. Withholding the medication or changing the dosage without guidance from the healthcare provider could impact the client's cognitive function and should not be done based on a single side effect.
D. Increasing the dosage of rivastigmine is not a solution for insomnia and could potentially exacerbate other side effects.
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