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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Nasal cyanocobalamin is a form of vitamin B12 that is used to treat pernicious anemia.
It is typically administered once per week into one nostril.
Choice B is wrong because there is no need to lie down for 1 hour after administering the medication.
Choice C is wrong because using a nasal decongestant before administering the medication is not necessary and may interfere with the absorption of the medication.
Choice D is wrong because the duration of treatment with nasal cyanocobalamin varies and should be determined by the provider based on the client’s individual needs.
Correct Answer is A
Explanation
Total parenteral nutrition (TPN) is a highly concentrated solution that provides nutrients to the body intravenously.
It is typically administered through a central venous access device, such as a central venous catheter or a peripherally inserted central catheter (PICC), because it can irritate the walls of smaller veins.
Choice B is wrong because Midline catheter, is not an appropriate route for TPN administration because it is not a central venous access device.
Choice C is wrong because Subcutaneous, is not an appropriate route for TPN administration because it is not given intravenously.
Choice D is wrong because Intraosseous, is not an appropriate route for TPN administration because it is typically used in emergency situations when intravenous access cannot be obtained.
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