A nurse is assessing a client who is receiving penicillin IV.
For which of the following findings should the nurse report to the provider as a manifestation of anaphylaxis?

Hypertonia.

Wheezing.

Urinary retention.

Increased blood pressure.

Answer and Explanation

The Correct Answer is B

Anaphylaxis is a severe, potentially life-threatening allergic reaction that can occur within seconds or minutes of exposure to an allergen, such as penicillin.

One of the symptoms of anaphylaxis is wheezing, which is caused by the constriction of the airways and a swollen tongue or throat.
Choice A is wrong because hypertonia (increased muscle tone) is not a known symptom of anaphylaxis.
Choice C is wrong because urinary retention (inability to completely empty the bladder) is not a known symptom of anaphylaxis.
Choice D is wrong because increased blood pressure is not a known symptom of anaphylaxis; in fact, anaphylaxis can cause a sudden drop in blood pressure.

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Correct Answer is A

Explanation

This is because pioglitazone can cause fluid retention and edema.

Choice B is wrong because tinnitus (ringing in the ears) is not a common adverse effect of pioglitazone.

Choice C is wrong because insomnia (difficulty sleeping) is not a common adverse effect of pioglitazone.

Choice D is wrong because orthostatic hypotension (a drop in blood pressure when standing up) is not a common adverse effect of pioglitazone.

A. "Insert the entire length of the needle into the skin during injection.” B. "Massage the insertion site after injecting the medication.” C. "Grasp the skin between the thumb and forefinger while injecting the medication.” D. "Alternate injection sites between the sides of the abdomen.” E. "Expel the air bubble from the prefilled syringe.”

Correct Answer is ["A","C","D"]

Explanation

When self-administering enoxaparin, the client should “Insert the entire length of the needle into the skin during injection” 1, “Grasp the skin between the thumb and forefinger while injecting the medication” , and “Alternate injection sites between the sides of the abdomen”

Choice B is wrong because the client should not massage the insertion site after injecting the medication.

Choice E is incorrect because the client should not expel the air bubble from the prefilled syringe.

The air bubble helps to ensure that all of the medication is injected and prevents leakage from the injection site.

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A nurse is assessing a client who is receiving penicillin IV. For which of the following findings should the nurse report to the provider as a manifestation of anaphylaxis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

Correct Answer is A

Explanation

A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply.).

Correct Answer is ["A","C","D"]

Explanation

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A nurse is assessing a client who is receiving penicillin IV.
For which of the following findings should the nurse report to the provider as a manifestation of anaphylaxis?