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 D

Explanation

Ceftriaxone is contraindicated for this client because it is a cephalosporin antibiotic, which has a similar structure to penicillin and can cause cross-reactivity in individuals with a penicillin allergy.

Choice A is wrong because Vancomycin is not a beta-lactam antibiotic and does not have cross-reactivity with penicillin.

Choice B is wrong because Clarithromycin is a macrolide antibiotic and does not have cross-reactivity with penicillin.

Choice C is wrong because Metronidazole is a nitroimidazole antibiotic and does not have cross-reactivity with penicillin.

A. Potassium 4.6 mEq/L. B. Calcium 8 mg/dL. C. Magnesium.1 mEq/L. D. Sodium 150 mEq/L.

Correct Answer is A

Explanation

Sodium polystyrene sulfonate is a medication used to treat high levels of potassium in the blood.

A potassium level of 4.6 mEq/L is within the normal range, indicating that the medication has been effective in reducing high levels of potassium in the blood.

Choice B is wrong because Calcium 8 mg/dL, is not the correct answer because it measures the level of calcium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.

Choice C is wrong because Magnesium.1 mEq/L, is not the correct answer because it measures the level of magnesium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.

Choice D is wrong because Sodium 150 mEq/L, is not the correct answer because it measures the level of sodium in the blood and is not specifically related to sodium polystyrene sulfonate therapy.

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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 reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory results of a client who received a dose of sodium polystyrene sulfonate. Which of the following findings should the nurse identify as an indication that the medication has been effective?

Correct Answer is A

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?