A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following medications should the nurse plan to administer?

Diphenhydramine<br>

Spironolactone

Desmopressin

Metoclopramide

Answer and Explanation

The Correct Answer is A

A Diphenhydramine is an antihistamine, which helps reduce allergic reactions like hives and urticaria.

B. Spironolactone is a diuretic and potassium-sparing aldosterone antagonist, primarily used for managing high blood pressure and fluid retention. It's not typically used for allergic reactions.

C. Desmopressin helps control bleeding and is not suitable for allergic reactions.

D. Metoclopramide helps with nausea and vomiting and wouldn't be the first choice for hives and urticaria.

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Correct Answer is C

Explanation

C. This statement highlights difficulty with a specific ADL (grooming) that OT can assess and intervene to improve independence and quality of life.

A Difficulty swallowing, preference for a wheelchair over a walker, and problems with bladder control may also require medical attention, but they are not directly related to the occupational therapy's primary focus on improving the patient's ability to perform daily activities

B. This statement suggests mobility issues and possibly difficulty with walking due to muscle weakness. While mobility aids such as wheelchairs and walkers are typically addressed by physical therapists, OT can also be involved in evaluating the client's preferences, abilities, and functional mobility needs.

D. While OT primarily focuses on ADLs and functional tasks, bladder control problems typically require evaluation and management by a urologist or specialist in urology.

A. Client is restless B. tachypneic, cough is productive C. mucous is yellow D. Wheezes and crackles E. Oxygen saturation 87% on room air F. Pulse 110/min G. oriented to person, place, and time H. Able to move all extremities

Correct Answer is ["A","B","C","D","E","F"]

Explanation

Restlessness can be a sign of inadequate oxygenation to the brain, known as hypoxia. This is particularly concerning in a client with COPD whose oxygen saturation is already low (87% on room air).

These pulmonary findings indicate worsening respiratory distress in a client with COPD. Tachypnea, productive cough with discolored sputum, and abnormal lung sounds (wheezes and crackles) suggest exacerbation of COPD. The oxygen saturation of 87% on room air is below normal (typically 95% or higher), indicating hypoxemia, which requires immediate assessment and intervention to prevent further respiratory compromise.

The elevated heart rate (110/min) may indicate increased workload on the heart due to respiratory distress and hypoxemia.

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A nurse is caring for a client following a cardiac catheterization who has hives and urticaria following administration of IV contrast dye. Which of the following medications should the nurse plan to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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