A nurse is assisting in the care of a client who is receiving newly prescribed IV antibiotics. Which of the following findings should the nurse report immediately?

Small, raised vesicles over the body

Rhinitis

Itching of the skin

Severe wheezing

Answer and Explanation

The Correct Answer is D

Rationale:

A. Small, raised vesicles over the body may indicate an allergic reaction but are not typically associated with IV antibiotics.

B. Rhinitis may indicate an allergic reaction but is not typically associated with IV antibiotics.

C. Itching of the skin may indicate an allergic reaction but is not typically associated with IV antibiotics.

D. Severe wheezing may indicate an allergic reaction or anaphylaxis and should be reported immediately.

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Correct Answer is A

Explanation

Rationale:

A. Regular clinical breast examinations by a healthcare provider are recommended for all women, typically starting at age 30, regardless of family history, as part of early detection efforts for breast cancer.

B. While mammograms are important for breast cancer screening, the age at which they should start may vary based on individual risk factors and guidelines from different organizations.

C. Breast ultrasound may be used in specific cases but is not typically recommended as a routine screening tool for breast cancer in asymptomatic women without specific risk factors.

D. Breast self-examinations are important for women to become familiar with their breasts and detect any changes, but the age at which they should start may vary based on individual risk factors and guidelines.

A. Apply lidocaine gel to the urethra. B. Inflate the catheter's balloon. C. Lower the penis to a 45° angle. D. Twist the catheter gently.

Correct Answer is C

Explanation

A. Applying lidocaine gel to the urethra may provide additional lubrication but does not address the immediate issue of resistance during catheter insertion.

B. Inflating the catheter's balloon is inappropriate at this stage, as the catheter is not properly positioned for urine flow, and doing so could cause injury.

C. Lowering the penis to a 45° angle helps to straighten the urethra and can facilitate easier passage of the catheter, making it the most appropriate action.

D. Twisting the catheter gently is not recommended, as this may cause trauma to the urethra or increase discomfort without resolving the resistance issue.

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A nurse is assisting in the care of a client who is receiving newly prescribed IV antibiotics. Which of the following findings should the nurse report immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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