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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Blocking agents: Antagonist medications block the action of other substances, typically by binding to receptors without activating them, thus preventing other substances from binding.
B. Palliative care medications: These medications are used to relieve symptoms in patients with serious illnesses but do not describe how antagonist medications work.
C. Diagnostic medications: These are used in diagnostic tests and procedures but do not describe the action of antagonists.
D. Synergistic medications: Synergistic medications enhance the effects of each other when used together. This is the opposite of what antagonists do, as antagonists typically inhibit effects.
Correct Answer is ["A","C","D"]
Explanation
A. Allergy shot: Patients should be observed for at least 15 minutes after receiving an allergy shot because of the risk of anaphylactic reactions, which can be life-threatening if not treated promptly.
B. B12 shot: Observation after a B12 shot is not typically necessary as it is generally well tolerated and does not carry a high risk of immediate allergic reactions.
C. Antibiotics: Some antibiotics, especially when given by injection, can cause allergic reactions, including anaphylaxis. Therefore, it’s prudent to observe the patient for 15 minutes after administration.
D. Immunizations: Like allergy shots, immunizations can sometimes cause allergic reactions or anaphylaxis, so patients are often observed for 15 minutes following administration.
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