The practical nurse (PN) evaluates a client 30 minutes after the initial administration of a new prescription. Which client response requires immediate action by the PN?
Tinnitus and vertigo after taking an aminoglycoside antiinfective.
Pruritus and urticaria after receiving a broad spectrum antibiotic.
Restlessness and excitability after receiving a narcotic analgesic.
Orthostatic hypotension and bradycardia after taking a beta blocker.
The Correct Answer is B
A. Tinnitus and vertigo after taking an aminoglycoside antiinfective: These are signs of ototoxicity, which are serious but typically develop after repeated dosing rather than immediately. Monitoring and reporting are important, but urgent intervention is less critical than acute hypersensitivity reactions.
B. Pruritus and urticaria after receiving a broad-spectrum antibiotic: These symptoms suggest an allergic reaction, which can progress rapidly to anaphylaxis. Immediate assessment, discontinuation of the drug, and notification of the healthcare provider are critical to prevent life-threatening complications.
C. Restlessness and excitability after receiving a narcotic analgesic: Mild restlessness can occur as a side effect, but it is usually not life-threatening. Continuous monitoring is appropriate, but it does not require the same immediate action as an allergic reaction.
D. Orthostatic hypotension and bradycardia after taking a beta blocker: These are known effects of beta blockers and should be monitored. While they may require intervention if severe, they are typically predictable and not immediately life-threatening compared to acute allergic responses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Gravida 2, Para 1: Gravida refers to the total number of pregnancies a client has had, including the current one, so this client is gravida 2. Para refers to the number of pregnancies carried to viability (≥20 weeks), so having one previous child makes her para 1.
B. Gravida 2, Para 0: While the client is correctly identified as gravida 2, she has previously carried a pregnancy to viability, so para 0 is inaccurate.
C. Gravida 1, Para 1: Gravida 1 would indicate this is the client’s first pregnancy, which is inconsistent with her history of one prior child.
D. Gravida 1, Para 0: Both the gravida and para are incorrect because this is her second pregnancy and she has delivered one child previously.
Correct Answer is A
Explanation
A. Anemia: Epoetin is a synthetic form of erythropoietin, which stimulates red blood cell production. In CKD, the kidneys produce insufficient erythropoietin, leading to anemia. Administering epoetin addresses this common complication.
B. Edema: Edema in CKD results from fluid retention due to impaired kidney function. Epoetin does not treat fluid overload; diuretics and fluid management are used for edema.
C. Hypertension: CKD-related hypertension is managed with antihypertensive medications. Epoetin may actually increase blood pressure as a side effect but does not treat hypertension.
D. Anuria: Anuria, or absence of urine output, reflects severe kidney dysfunction. Epoetin does not restore urine production; renal replacement therapy may be needed for anuria.
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