Shortly after providing a new sleeping pill to a patient on the medical unit, the nurse answers the patient's call light. Which of the following findings would indicate to the nurse that the patient is experiencing an anaphylactic reaction to the medication?

The patient complains of shortness of breath

The patient reports feeling hot, and her face appears flushed.

The patient states that she feels nauseated and has a headache.

The patient complains of continued wakefulness and agitation.

Answer and Explanation

The Correct Answer is A

A. The patient complains of shortness of breath: Shortness of breath is a hallmark symptom of an anaphylactic reaction. It indicates that the patient may be experiencing airway constriction, which is a medical emergency.

B. The patient reports feeling hot, and her face appears flushed: Flushing and a feeling of warmth can be early signs of an allergic reaction, but they are not specific to anaphylaxis. Other more severe symptoms would need to be present to diagnose anaphylaxis.

C. The patient states that she feels nauseated and has a headache: Nausea and headache are not typically associated with anaphylaxis. They may be side effects of the medication but are not indicative of an allergic reaction severe enough to cause anaphylaxis.

D. The patient complains of continued wakefulness and agitation: Continued wakefulness and agitation could be side effects of the sleeping pill but are not symptoms of an anaphylactic reaction. These symptoms do not require immediate emergency intervention like anaphylaxis would.

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 B

Explanation

A. "It is difficult to tell if you will have this reaction again."
This statement is honest but not very reassuring. It doesn't offer guidance or potential solutions, which could leave the patient feeling anxious.

B. "This is a mild side effect and may not lead to additional side effects. If it were to occur, there may be ways to reduce the side effects." This response is appropriate because it acknowledges the patient's concern, provides reassurance, and offers the possibility of managing the side effects if they occur again. It balances the patient's worry with practical information.

C. "You should not take this medication again, as the same thing might happen."
This response is too definitive and may be inappropriate if the medication is important for the patient's treatment. It dismisses the possibility of managing the side effect.

D. "This is not a serious side effect, so there is no concern."
This response is dismissive of the patient's feelings and does not address their concerns adequately. It may make the patient feel their worries are being minimized.

A. Notify the charge nurse that patients may have received inappropriate medication dosages. B. Evaluate the laboratory values of each patient to determine liver and kidney function as a possible reason for decreased dosages C. Do not worry about the discrepancy because this is not the nurse's unit. D. Call the nursing supervisor to investigate the nurse's concerns.

Correct Answer is B

Explanation

A. Notify the charge nurse that patients may have received inappropriate medication dosages.
Jumping to conclusions about inappropriate dosages without first investigating the rationale for the dosing is premature and could cause unnecessary alarm.

B. Evaluate the laboratory values of each patient to determine liver and kidney function as a possible reason for decreased dosages. Lower dosages are often prescribed for older adults due to decreased liver and kidney function, which can affect drug metabolism and excretion. Evaluating lab values ensures that these dosages are appropriate and safe.

C. Do not worry about the discrepancy because this is not the nurse's unit.
Ignoring the discrepancy is not appropriate, as it’s important for all nurses to advocate for patient safety, regardless of the unit.

D. Call the nursing supervisor to investigate the nurse's concerns.
The nursing supervisor may need to be involved, but the first step is to review the relevant clinical data (lab values) to assess the situation.

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

Shortly after providing a new sleeping pill to a patient on the medical unit, the nurse answers the patient's call light. Which of the following findings would indicate to the nurse that the patient is experiencing an anaphylactic reaction to the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has experienced an upset stomach from a medication taken previously and is concerned about the possibility of additional side effects. What is the best nursing response?

Correct Answer is B

Explanation

A nurse from the adult medical unit is pulled to the geriatric unit. The nurse notes that many of the common medications provided are in lower doses than typically prescribed. What action by the nurse is the highest priority?

Correct Answer is B

Explanation

Medwatch is a way of reporting adverse effects of a medication?

A nurse working at the poison control center receives a call from a young woman babysitting a 4-year-old child who reportedly swallowed some of his parent's medication. Which statement by the nurse is best at this time?

The nurse is preparing to apply a topical ointment to a patient with a sore throat. Which instruction by the nurse would lead to first to help facilitate absorption of the medication?

An oncology patient is admitted to the nursing unit under hospice care Which medication should the nurse anticipate that the health-care provider will order?

While caring for a patient with a history of hypothyroidism, the nurse expects which of the following medications to be included in the patient's medication list?

A patient is scheduled for diagnostic testing. Which medication should the nurse anticipate that the health-care provider would order?

While caring for a patient scheduled for knee replacement surgery, the nurse provides cefazolin(antibiotic) as ordered 30 minutes preoperatively. Which statement indicates that teaching has been effective?

A nurse is monitoring a patient during the postoperative period following a surgical procedure. Which actions should be included in the plan of care? (Select all that apply.)