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?

Increased blood pressure

Hypertonia

Wheezing

Urinary retention

Answer and Explanation

The Correct Answer is C

Choice A rationale: While increased blood pressure can occur in various conditions, it might not specifically indicate anaphylaxis to penicillin.

Choice B rationale: Hypertonia might not directly correlate with anaphylaxis and could be caused by other factors.

Choice C rationale: Wheezing is a critical sign of anaphylaxis, a severe allergic reaction to penicillin. Reporting wheezing to the provider is crucial for immediate intervention to prevent further complications associated with anaphylaxis.

Choice D rationale: Urinary retention is not a typical manifestation of anaphylaxis to penicillin and might not be directly linked to the allergic reaction.

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Correct Answer is D

Explanation

Choice A rationale: Montelukast is a leukotriene receptor antagonist and doesn't directly interact with albuterol.
Choice B rationale: Pantoprazole is a proton pump inhibitor and does not directly interact with albuterol.
Choice C rationale: Isosorbide mononitrate is a nitrate used for heart conditions and does not directly interact with albuterol.
Choice D rationale: Albuterol, used for asthma, is a beta-agonist, while propranolol is a beta-blocker. Administering these medications together can counteract the effects of both drugs due to their opposing actions on beta receptors. It's crucial to withhold propranolol and inform the provider to avoid potential adverse effects.

A. Polyuria B. Bradycardia C. Hypotension D. Nausea

Correct Answer is C

Explanation

Choice A rationale: Polyuria (excessive urination) is not a typical manifestation of an allergic reaction to ceftriaxone.
Choice B rationale: Bradycardia is not commonly associated with an allergic reaction to ceftriaxone.
Choice C rationale: Hypotension (low blood pressure) can be a manifestation of an allergic reaction to ceftriaxone. It is crucial for the nurse to recognize this and take appropriate action.
Choice D rationale: Nausea can be a side effect of ceftriaxone but might not solely indicate an allergic reaction.

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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 interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Correct Answer is D

Explanation

A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?

Correct Answer is C

Explanation

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