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 B

Explanation

A. Inject 0.3 to 0.5 mL of the solution: The typical volume for a tuberculin skin test is 0.1 mL.
B. Select an injection site that is free of scar tissue: Scar tissue can interfere with the reading of the tuberculin skin test, so a site free of scars should be selected.
C. Hold the needle at a 30° angle during injection: The needle should be held at a 5–15° angle for intradermal injections.
D. Massage the site following the injection: Massaging the site is not recommended as it could affect the accuracy of the test.

A. Use the Z-track technique to administer the medication. B. Administer the medication with a 27-gauge 1/2-inch needle. C. Inject the medication at least 5 cm (2 in) from the umbilicus. D. Give the medication without aspirating prior to injection.

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.

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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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