Serum sickness, which is a Type III Hypersensitivity Reaction, may occur in patients that have received which of the following medications?
Cephalosporin
Epinephrine
Diphenhydramine
Penicillin or Sulfonamide
The Correct Answer is D
A. Cephalosporin: Though cephalosporins can cause allergic reactions, they are less commonly associated with serum sickness compared to penicillins.
B. Epinephrine: Epinephrine treats allergic reactions and does not cause serum sickness.
C. Diphenhydramine: Diphenhydramine is an antihistamine used to alleviate hypersensitivity reactions.
D. Penicillin or Sulfonamide: These medications are classic triggers for serum sickness, a delayed hypersensitivity reaction involving immune complex deposition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Antihistamines: Antihistamines are the first-line treatment for allergic rhinitis as they block histamine, which is responsible for allergic symptoms such as sneezing, itching, and runny nose.
B. Antibiotics: Antibiotics are used for bacterial infections, not for allergic rhinitis, which is an allergic condition.
C. Antivirals: Antivirals are used for viral infections, not allergic rhinitis.
D. Bronchodilators: Bronchodilators are used for conditions like asthma, not for allergic rhinitis.
Correct Answer is A
Explanation
A. Stop the transfusion: The immediate priority is to halt the infusion to prevent further exposure to the offending blood product.
B. Call the blood bank to report the reaction: This is done after the transfusion is stopped and the patient is stabilized.
C. Administer oxygen: Oxygen administration may be required if the patient shows signs of respiratory distress but is not the immediate first action.
D. Call the physician: Notifying the physician is important but only after stopping the transfusion and assessing the client.
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