A nurse is assessing a client who has a urinary tract infection and is taking sulfamethoxazole-trimethoprim. Which of the following findings should the nurse identify as a manifestation of an allergic reaction?

Insomnia

Photosensitivity

Hallucinations

Wheezing

Answer and Explanation

The Correct Answer is D

A. Insomnia: Insomnia is not a typical sign of an allergic reaction. It may occur as a nonspecific side effect of illness or other medications but is not indicative of hypersensitivity to sulfamethoxazole-trimethoprim.

B. Photosensitivity: Photosensitivity is a known adverse effect of sulfamethoxazole-trimethoprim but is not an allergic reaction. It results in increased susceptibility to sunburn rather than an immune-mediated response.

C. Hallucinations: Hallucinations are a rare neurologic side effect and are unrelated to allergic reactions. They may occur with severe systemic toxicity but are not typical of hypersensitivity.

D. Wheezing: Wheezing indicates bronchospasm and airway involvement, which are classic signs of an allergic reaction. It reflects hypersensitivity and may progress to anaphylaxis, requiring immediate attention.

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Correct Answer is D

Explanation

A. Weight gain: Ergotamine does not typically cause weight gain. Its primary adverse effects are related to vascular and neuromuscular systems rather than metabolic changes.

B. Constipation: Constipation is not a common adverse effect of ergotamine. The medication primarily affects smooth muscle in blood vessels rather than gastrointestinal motility.

C. Hypoglycemia: Ergotamine does not influence blood glucose levels, so hypoglycemia is not an expected adverse effect.

D. Muscle pain: Ergotamine can cause vasoconstriction of peripheral blood vessels, which may lead to muscle pain, weakness, or tingling in the extremities. This neuromuscular effect is a recognized potential adverse effect of the medication.

A. Visual disturbances B. Pressure in the chest C. Phonophobia D. Numbness of the tongue

Correct Answer is B

Explanation

A. Visual disturbances: Visual changes can occur as part of a migraine aura, but they are not typically an adverse effect caused by sumatriptan itself.

B. Pressure in the chest: Sumatriptan can cause vasoconstriction, leading to chest pressure or tightness. This cardiovascular effect is a known adverse reaction and should be assessed carefully to rule out serious complications.

C. Phonophobia: Sensitivity to sound is a symptom of migraines, not a side effect of sumatriptan. It reflects the underlying condition rather than medication-related adverse effects.

D. Numbness of the tongue: Tingling or paresthesia can occur in some clients, but numbness of the tongue is less common and not a primary adverse effect of sumatriptan compared with cardiovascular symptoms.

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A nurse is assessing a client who has a urinary tract infection and is taking sulfamethoxazole-trimethoprim. Which of the following findings should the nurse identify as a manifestation of an allergic reaction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for ergotamine to treat vascular headaches. The nurse should inform the client that which of the following is a potential adverse effect of this medication?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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