The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?
Scratchy throat.
Pupillary constriction.
Hypertension.
Bradycardia.
The Correct Answer is A
A. Scratchy throat: This symptom can indicate an allergic reaction, which can progress rapidly to more severe manifestations such as anaphylaxis. Anaphylaxis is a medical emergency that requires immediate intervention, including stopping the infusion and administering appropriate medications.
B. Pupillary constriction: This is not typically associated with an allergic reaction to medications like piperacillin-tazobactam. It is more commonly related to neurological conditions or the effects of certain drugs, such as opioids.
C. Hypertension: While elevated blood pressure can be concerning, it is not a common immediate reaction to piperacillin-tazobactam infusion. Hypertension could be related to other underlying conditions or stress but is not a primary reason to stop the infusion in this context.
D. Bradycardia: A slow heart rate is not a typical immediate response to an allergic reaction to antibiotics. Bradycardia can be caused by various factors, including medications, heart conditions, or electrolyte imbalances, but it is not directly linked to the infusion of piperacillin-tazobactam
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale: Probenecid does not prevent kidney stones. Its primary function is to increase the excretion of uric acid in the urine.
Choice B rationale: Probenecid does not affect the strength of the urine stream. Its action is specific to uric acid excretion.
Choice C rationale: Probenecid is not used to alleviate pain and burning during urination. Its main indication is for gout and hyperuricemia.
Choice D rationale: Probenecid is a uricosuric drug used to treat gout and hyperuricemia. It works by inhibiting the reabsorption of uric acid in the kidneys, which promotes its excretion in the urine. By increasing uric acid excretion, probenecid helps to reduce the concentration of uric acid in the blood and prevent gout attacks.
Correct Answer is B
Explanation
Relief of depression Incorrect because anticholinergics do not have antidepressant effects and may worsen depression by causing sedation, confusion or hallucinations.
Decreased tremors Correct because anticholinergics block the action of acetylcholine in the brain and reduce the imbalance between dopamine and acetylcholine that causes tremors in Parkinson's disease.
Delay in disease progression Incorrect because anticholinergics do not modify the underlying pathology of Parkinson's disease and do not prevent neuronal degeneration or dopamine depletion.
Improved bladder function Incorrect because anticholinergics may impair bladder function by causing urinary retention, hesitancy or incontinence due to their antispasmodic effects on the detrusor muscle.
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