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A nurse is caring for a client who has a prescription for amoxicillin. Which of the following findings indicates the client is experiencing an allergic reaction?

A.

Laryngeal edema

B.

Nausea

C.

Cardiac dysrhythmia

D.

insomnia

Answer and Explanation

The Correct Answer is A

A. Laryngeal edema (Correct Answer): Laryngeal edema is a severe allergic reaction that can compromise the airway and lead to respiratory distress. It is a medical emergency and requires immediate intervention. Other signs of a severe allergic reaction may include difficulty breathing, wheezing, and swelling of the face or lips. 
B. Nausea: Nausea is a common side effect of many medications, including antibiotics. However, it is not a specific sign of an allergic reaction. Allergic reactions are more likely to involve symptoms such as rash, itching, and swelling. 
C. Cardiac dysrhythmia: Cardiac dysrhythmia is not a typical manifestation of an allergic reaction to amoxicillin. Allergic reactions generally involve the immune system and may present with symptoms such as skin rash, itching, or respiratory distress. 
D. Insomnia: Insomnia is not a known side effect or manifestation of an allergic reaction to amoxicillin. Allergic reactions are more likely to involve immediate hypersensitivity responses, such as skin reactions or respiratory symptoms.
 


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Related Questions

Correct Answer is ["20"]

Explanation

Step 1: Convert Weight to Kilograms

  • 1 lb = 0.4536 kg
  • 132 lb × 0.4536 kg/lb = 59.87 kg

Step 2: Calculate Total Dose of Acyclovir

  • Prescribed dose = 10 mg/kg
  • Total dose = 59.87 kg × 10 mg/kg = 598.75 mg

Step 3: Determine the Volume of Injectable Solution

  • Acyclovir IV concentration = 30 mg/mL
  • Volume = 598.75 mg ÷ 30 mg/mL = 19.96 mL

The nurse should administer 20 mL (rounded to the nearest whole number) of acyclovir IV injectable solution.

Correct Answer is D

Explanation

A. Increased blood pressure: Heparin does not typically directly affect blood pressure. However, if there are other underlying conditions or complications related to the reason for heparin use, it might indirectly influence blood pressure. But a high aPTT level itself wouldn't directly cause an increase in blood pressure.
B. Decreased temperature: Heparin does not usually affect body temperature. Changes in temperature might occur due to other factors, but they are not directly related to heparin administration or its effects on aPTT.
C. Decreased respiratory rate: Heparin does not typically affect the respiratory rate directly. Changes in respiratory rate might occur due to other causes but are not directly correlated with heparin administration or its effects on aPTT.
D. Increased pulse rate: Heparin, especially when aPTT is elevated, might indicate that the blood is less likely to clot. An increased pulse rate could be indicative of compensatory mechanisms due to potential bleeding or changes in clotting factors influenced by heparin. It's essential to monitor for an increased pulse rate as a potential sign of bleeding complications associated with anticoagulant therapy.

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