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.
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Related Questions
Correct Answer is D
Explanation
Gentamicin can harm your kidneys.
An elevated creatinine level can be a sign of kidney damage.
The nurse should report this finding to the provider immediately.
Choice A is wrong because Fasting blood glucose 130 mg/dL, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
Choice B is wrong because WBC 11,000/mm3, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
Choice C is wrong because Potassium 4.5 mEq/L, is not an answer because it is not mentioned as an adverse effect of gentamicin in the search results.
Correct Answer is A
Explanation
Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.
It works by slowing down the heart rate and reducing the force of heart muscle contraction.
Therefore, it is important for the nurse to assess the client’s heart rate prior to administering this medication to ensure that it is within a safe range.
Choice B is wrong because respiratory rate is not directly affected by propranolol.
Choice C is wrong because temperature is not directly affected by propranolol.
Choice D is wrong because pain level is not directly affected by propranolol.
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