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 D
Explanation
A client who has deep-vein thrombosis and is taking warfarin should obtain an International Normalized Ratio (INR) test monthly.
This blood test measures how fast the blood clots and helps the healthcare provider determine if the client is taking the right dose of warfarin to keep them safe from bleeding and making clots.
Choice A is wrong because Platelet count, is not the correct answer because it measures the number of platelets in the blood and is not specifically related to warfarin therapy.
Choice B is wrong because aPTT, is not the correct answer because it measures the time it takes for blood to clot and is used to monitor heparin therapy, not warfarin therapy.
Choice C is wrong because Fibrinogen, is not the correct answer because it measures the amount of fibrinogen in the blood and is not specifically related to warfarin therapy.
Correct Answer is C
Explanation
Neostigmine is an anticholinesterase inhibitor that indirectly stimulates both nicotinic and muscarinic receptors by interfering with the breakdown of acetylcholine.
Stimulation of muscarinic receptors can lead to increased salivation.
Choice A is wrong because an occipital headache is not a manifestation of a muscarinic response to neostigmine.
Choice B is wrong because fever is not a manifestation of a muscarinic response to neostigmine.
Choice D is wrong because a myoclonic seizure is not a manifestation of a muscarinic response to neostigmine.
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