A nurse is caring for a client who has a prescription for ceftriaxone. The nurse should monitor the client for which of the following adverse effects?

Concentrated urine

Maculopapular rash

Constipation

Pitting edema

Answer and Explanation

The Correct Answer is B

A. Concentrated urine: This is not a typical adverse effect of ceftriaxone.
B. Maculopapular rash: This is a common hypersensitivity reaction associated with ceftriaxone, a cephalosporin antibiotic. It can indicate an allergic response and should be monitored closely.
C. Constipation: Ceftriaxone is not known to commonly cause constipation.
D. Pitting edema: Edema is not typically associated with ceftriaxone administration.

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Correct Answer is A

Explanation

A. Use the Z-track technique to administer the medication.: The Z-track technique prevents irritation by sealing the medication within the muscle tissue.
B. Administer the medication with a 27-gauge 1/2-inch needle.: IM injections require a longer needle, typically 1–1.5 inches, and a larger gauge, such as 21–25.
C. Inject the medication at least 5 cm (2 in) from the umbilicus.: This is relevant for subcutaneous injections, not IM injections.
D. Give the medication without aspirating prior to injection.: Aspiration is not always required for IM injections but is often practiced for safety when administering certain medications.

A. "This medication should start to alleviate the headache within 1 hour." B. "You might experience a feeling of pressure in your chest after taking this medication." C. "Do not take more than 200 milligrams of this medication within 24 hours." D. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists." E. "You should discontinue this medication if pregnancy is planned or suspected." F. "This medication can cause you to feel tired." G. "You might experience a rash on your skin while taking this medication."

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

Explanation

A. "This medication should start to alleviate the headache within 1 hour.": Triptans typically provide relief within 1 to 2 hours after administration.
B. "You might experience a feeling of pressure in your chest after taking this medication.": Some clients report a sensation of tightness or pressure in the chest, which is a known, generally benign side effect of triptans.
C. "Do not take more than 200 milligrams of this medication within 24 hours.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
D. "You can take a second dose of this medication at least 2 hours after the initial dose if the headache persists.": A second dose can be taken at least 2 hours after the first dose if the headache persists, but the total dose should not exceed 200 mg in 24 hours for most formulations.
E. "You should discontinue this medication if pregnancy is planned or suspected." Triptans are classified as Category C drugs and should be avoided during pregnancy unless the potential benefit outweighs the risk.
F. "This medication can cause you to feel tired.": Feeling tired is a common side effect of triptans.
G. "You might experience a rash on your skin while taking this medication.": A rash is not a common or expected side effect of triptans. Skin reactions are not a primary concern with these medications unless the client has an allergic response.

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A nurse is caring for a client who has a prescription for ceftriaxone. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

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