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?
Nausea
Insomnia
Laryngeal edema
Cardiac dysrhythmia
The Correct Answer is C
Choice A Reason:
Nausea is incorrect. Nausea is a common side effect of many medications, including antibiotics like amoxicillin. While it can be a side effect of an allergic reaction, it's also a general symptom that can occur due to various reasons, such as gastrointestinal upset or the direct effects of the antibiotic on the stomach lining. Nausea alone is less specific for indicating an allergic reaction compared to severe symptoms like laryngeal edema.
Choice B Reason:
Insomnia is incorrect. Insomnia, or difficulty sleeping, is not a typical manifestation of an allergic reaction to amoxicillin. Allergic reactions usually involve more immediate and visible symptoms such as skin rash, itching, swelling, difficulty breathing, or in severe cases, anaphylaxis. Insomnia is not a common symptom associated with allergic responses to antibiotics.
Choice C Reason:
Laryngeal edema is correct. Laryngeal edema, or swelling of the larynx, is a serious symptom of an allergic reaction known as anaphylaxis. This severe allergic reaction can be life-threatening due to its potential to obstruct the airway, leading to breathing difficulties.
Choice D Reason:
Cardiac dysrhythmia is incorrect. While medications can sometimes affect heart rhythms, cardiac dysrhythmia is not a common symptom of an allergic reaction to amoxicillin. Allergic reactions tend to manifest with more immediate symptoms like skin reactions, respiratory issues, or swelling rather than primarily affecting the heart rhythm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Dark amber urine is incorrect. Dark urine can indicate concentrated urine, often seen in dehydration when the body is trying to conserve water.
Choice B Reason:
Decreased skin turgor is incorrect. Decreased skin turgor is a classic sign of dehydration, indicating that the skin lacks elasticity due to insufficient fluid intake or loss.
Choice C Reason:
Pink, frothy sputum is correct. Normal saline is a common intravenous solution used to treat dehydration. However, in some cases, especially when administered in excessive amounts, it can lead to fluid overload or pulmonary edema. This can manifest as pink, frothy sputum, indicating potential pulmonary congestion or edema, which is a serious adverse effect of fluid overload.
Choice D Reason:
Increased bowel sounds is incorrect. Increased bowel sounds can be seen in various conditions, including gastrointestinal disturbances or hyperactive bowel motility, but it's not typically associated with the adverse effects of normal saline administration.
Correct Answer is ["60"]
Explanation
Step 1: Determine the Lidocaine Concentration
- The solution contains 2 grams (2000 mg) of lidocaine in 500 mL.
- To find the amount of lidocaine per mL:
2000 mg ÷ 500 mL = 4 mg/mL
Step 2: Calculate the Total Dose per Hour
- The prescribed infusion rate is 4 mg per minute.
- In 1 hour (60 minutes), the total dose is:
4 mg/min × 60 min = 240 mg/hr
Step 3: Determine the Infusion Rate in mL/hr
- Since each mL contains 4 mg of lidocaine:
240 mg ÷ 4 mg/mL = 60 mL/hr
The nurse should set the IV pump to 60 mL/hr for the continuous IV infusion of lidocaine at a rate of 4 mg/min.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today