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.

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Correct Answer is D

Explanation

A. "This medication will replace vitamins and minerals that may be lost due to bleeding during surgery." Cefazolin is an antibiotic, not a replacement for vitamins and minerals. This statement is incorrect.

B. "This is a palliative medication to help ease the pain from surgery."Cefazolin is not a palliative medication; it is an antibiotic used to prevent infection, not to relieve pain.

C. "This medication will help the surgeon identify areas of bone destruction due to arthritis." Cefazolin does not aid in the identification of bone destruction. It is an antibiotic, not a diagnostic tool.

D. "This antibiotic is given as a prophylactic to help reduce the risk of infection after surgery."
This statement is correct. Cefazolin is given prophylactically to reduce the risk of postoperative infection.

A. Intramuscular B. Intravenous C. topically D. Transdermal E. Oral pills

Correct Answer is ["A","B"]

Explanation

A. Intramuscular: Intramuscular (IM) injections are absorbed faster than oral medications due to the richer blood supply in muscles compared to subcutaneous tissues.

B. Intravenous: Intravenous (IV) administration provides immediate systemic absorption as the medication is delivered directly into the bloodstream.

C. Topically: Topical medications are applied to the skin and generally have a slower absorption rate compared to systemic routes.

D. Transdermal: Transdermal patches provide a steady, controlled release of medication through the skin, but absorption is slower compared to IM and IV routes.

E. Oral pills: Oral medications are absorbed through the gastrointestinal tract, which is slower compared to IM and IV routes.

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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

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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?

Correct Answer is D

Explanation

A nurse is preparing to administer a medication to a patient. Which routes should the nurse anticipate as leading to quicker systemic absorption? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

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