The nurse administers a medication to the patient.
Which symptoms indicate that the patient is having an allergic reaction rather than a side effect?

The patient correctly demonstrates the exercises and how to use the spirometer.

The patient explains to the nurse why the exercises and spirometer are important.

The patient will correctly demonstrate how to use pursed-lip breathing.

The patient’s pulse oximetry will stay greater than 94% with at least 12 breaths/minute.

Answer and Explanation

The Correct Answer is A

The correct answer is E(None of the Above)

Rationale for E:

The options A, B, C, and D all describe actions or physiological measurements that do not directly indicate an allergic reaction.

Allergic reactions involve the immune system's response to a specific substance, whereas side effects are unintended reactions to a medication that are not caused by an immune response.

Key differences between allergic reactions and side effects:

Allergic reactions:

Typically occur rapidly after exposure to the allergen.

Can involve various body systems, including the skin (hives, itching, rash), respiratory system (wheezing, difficulty breathing, throat tightness), gastrointestinal system (nausea, vomiting, diarrhea), and cardiovascular system (low blood pressure, shock).

May be life-threatening in severe cases, such as anaphylaxis. Side effects:

Can occur at any time during medication use.

Usually more predictable and less severe than allergic reactions.

Often subside as the body adjusts to the medication or with dose adjustments. Important considerations for nurses:

Carefully assess patients for potential allergies before administering medications.

Monitor patients closely for any signs of allergic reactions or side effects after medication administration.

Promptly intervene if an allergic reaction is suspected, following established protocols and administering emergency medications as needed.

Document all observations and actions related to medication administration and patient responses.

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 C

Explanation

Choice A rationale:

A. Standing order B. PRN order C. Single order D. Stat order

Correct Answer is A

Explanation

Choice A rationale:

Standing orders are pre-approved orders that nurses can implement for specific patient situations without requiring a new order from a provider each time. They are designed to streamline care, promote efficiency, and ensure consistency in treatment. In this case, the standing order for EKGs on all cardiac unit admissions serves several key purposes:

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

The nurse administers a medication to the patient. Which symptoms indicate that the patient is having an allergic reaction rather than a side effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the appropriate medication dosage for the patient as needed?

Correct Answer is C

Explanation

A patient is admitted to the cardiac unit.Everyone admitted to the cardiac unit will have an EKG done unless otherwise ordered. This is an example of which type of order?

Correct Answer is A

Explanation

The patient is scheduled to receive insulin aspart and insulin detemir.What is the correct procedure for the nurse to draw up the insulins for administration?

The nurse is scheduled to administer the patient’s next dose of vancomycin at 9:30 a.m. At what time should the nurse draw the patient’s blood to check the trough vancomycin level?

The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication.The patient soon starts having difficulty breathing and his blood pressure drops. What is the correct analysis of the patient’s condition?

The nurse is caring for a patient with shallow respirations and diminished breath sounds following abdominal surgery yesterday.Which are the appropriate actions of the nurse? (Select all that apply.)

If a nurse needs to administer 3 mL of medication intramuscularly to an adult patient, which site should be used for the injection?

The nurse notes a reddened area on the right heel that does not turn lighter in color when pressed with a finger.Which term will the nurse use to describe this area?

A patient is scheduled to receive insulin aspart and insulin detemir.What is the correct procedure for the nurse to draw up the insulins for administration?

For the Nursing Exam #3 (Winter 2023), which of the following is an example of allopathic treatment?

The nurse administers a medication to the patient.
Which symptoms indicate that the patient is having an allergic reaction rather than a side effect?