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 {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Malnutrition: The client presents with weight loss, anorexia, and difficulty eating due to oral ulcers, all of which increase the risk of malnutrition.
Hemorrhage: There is no indication of active bleeding or conditions predisposing the client to hemorrhage.
Tuberculosis: Clients with HIV are at increased risk for opportunistic infections, including tuberculosis, especially with symptoms of cough and weight loss.
Sepsis: Although immunosuppressed clients are at risk for infections, there is no current evidence of systemic infection requiring immediate sepsis evaluation.
Correct Answer is B
Explanation
A. Prevents Rh antibodies in a newborn who is Rh-positive: The medication is not administered to newborns but to Rh-negative mothers.
B. Prevents the formation of Rh antibodies by a woman who is Rh-negative: Rho(D) immune globulin prevents maternal sensitization to Rh-positive fetal blood, avoiding hemolytic disease in future pregnancies.
C. Destroys Rh antibodies in a newborn who is Rh-positive: The goal is prevention in the mother, not antibody destruction in the newborn.
D. Destroys Rh antibodies in a woman who is Rh-negative: Rho(D) immune globulin does not destroy antibodies; it prevents their formation.
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