A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child’s blood glucose. The nurse should identify this finding as an adverse effect of which of the following medication?

Methylprednisolone

Ondansetron

Guaifenesin

Amoxicillin

Answer and Explanation

The Correct Answer is A

A. Methylprednisolone: This corticosteroid is commonly used to reduce inflammation in conditions like pneumonia. One of its known adverse effects is hyperglycemia, especially during stress or infection, due to its role in increasing gluconeogenesis and decreasing peripheral glucose uptake.
B. Ondansetron: This antiemetic is used to prevent nausea and vomiting. It does not significantly affect blood glucose levels and is not associated with hyperglycemia as an adverse effect.
C. Guaifenesin: As an expectorant, guaifenesin helps loosen mucus in the airways but has no known effect on glucose metabolism. It is not linked to elevated blood glucose in clinical use.
D. Amoxicillin: This antibiotic is effective in treating bacterial pneumonia but does not impact glucose levels. Hyperglycemia is not a typical adverse effect of this medication.

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Correct Answer is A

Explanation

A. Stop the procedure: Stopping the blood transfusion immediately is the priority to prevent further exposure to the potentially harmful blood product causing the wheezing. This action helps minimize the risk of progression to a more severe transfusion reaction or anaphylaxis.
B. Administer an antihistamine: Antihistamines may relieve allergic symptoms but should only be given after the transfusion is stopped and the client is assessed. Administering medication without stopping the transfusion first could worsen the reaction.
C. Administer oxygen: Providing oxygen supports the client’s respiratory function during wheezing, which may indicate hypoxia. Oxygen administration is important but secondary to stopping the transfusion to eliminate the cause.
D. Initiate an infusion of 0.9% sodium chloride using new tubing: Starting a saline infusion with new tubing helps maintain IV access and prevent clotting after stopping the transfusion. This action is necessary but follows stopping the transfusion as the first priority.

A. A client who consumes all the food from their meal tray. B. A client who requests assistance to use the bedside commode. C. A client who has a prescription for compression stockings and did not receive them. D. A client who requests to sit in the bedside chair while watching TV.

Correct Answer is C

Explanation

A. A client who consumes all the food from their meal tray: Eating a full meal is generally positive and does not require immediate reporting unless related to specific dietary restrictions or concerns.
B. A client who requests assistance to use the bedside commode: Requesting help to use the commode is expected and can be managed by the assistive personnel without urgent nurse notification.
C. A client who has a prescription for compression stockings and did not receive them: Compression stockings prevent deep vein thrombosis and promote circulation. Not receiving them as prescribed is a safety concern that requires prompt nurse awareness and intervention.
D. A client who requests to sit in the bedside chair while watching TV: This is a normal, non-urgent request that the assistive personnel can usually handle without needing to notify the nurse immediately.

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A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child’s blood glucose. The nurse should identify this finding as an adverse effect of which of the following medication?

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Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who is receiving a blood transfusion. The nurse notes the client has developed a sudden onset of respiratory wheezing. Which of the following actions should the nurse perform first?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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