A nurse is caring for a client who has streptococcal pneumonia and a prescription for penicillin Gby intermittent IV bolus. 10 minutes into the infusion of the third dose, the client reports that the IV site itches and that he feels dizzy and short of breath. Which of the following actions should the nurse take first?

Call the client's provider.

Stop the infusion.

Auscultate the client's breath sounds.

Elevate the head of the bed.

Answer and Explanation

The Correct Answer is B

The client is exhibiting symptoms and signs of anaphylaxis. Anaphylaxis is a severe systemic allergic reaction that occurs due to allergens presenting with (itching) urticaria and sudden onset shortness of breath and/or shock. The first action should be to stop the infusion to prevent worsening the severity of the allergic reaction.

A. Important to allow for further prescription but not a priority

C. Auscultating the lungs allows the nurse to assess for the severity of the reaction but should come after stopping the infusion

D. Elevating the head can improve ventilation but is not a priority

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Correct Answer is B

Explanation

Testosterone acts of the prostatic tissue leading to abnormal/dysplastic tissue hyperplasia and hypertrophy in prostatic cancer. Leuprolide is a gonadotropin-releasing hormone (GnRH) agonists. It suppresses the release of testosterone which is necessary for enlargement of prostatic tissue.

A. Finasteride is a 5-alpha reductase used in the management of benign prostatic hyperplasia which is not cancerous

C. Cyclophosphamide is a chemotherapeutic agent used in other cancers but not prostate cancer

D. Tamoxifen is a selective estrogen receptor modulator used in the treatment of breast cancer.

A. pruritus B. Diarrhea C. Blurred Vision D. Fatigue

Correct Answer is C

Explanation

hydroxychloroquine is a quinoline that is used to suppress the immune system in autoimmune conditions. Among its side effects, it can cause retinal toxicity that warrants stopping the medications. Blurring of vision should, therefore, be reported immediately.
A, B, and D - these are potential adverse effects of hydroxychloroquine but do not require immediate attention

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?

Correct Answer is B

Explanation

A nurse is assessing a client who has systemic lupus erythematosus and is taking hydroxychloroquine. The nurse should report which of the following adverse effects to the provider immediately?

Correct Answer is C

Explanation

A nurse is providing teaching to a client who has peptic ulcer disease and a new prescription for sucralfate tablets. Which of the following information should the nurse provide?

A nurse is caring for a client Who is prescribed diphenhydramine to relieve pruritus. The client asks the nurse how he can minimize the daytime sedation he is experiencing. Which of the following responses should the nurse give?

A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking Which of the following herbal preparations reduces the effectiveness of this birth control method?

A nurse is caring for a client who has a fungal infection and has a new prescription for amphotericin B. Which of the following laboratory values should the nurse report to the provider before initiating the medication?

A nurse is teaching a client who has a new prescription for ibuprofen to treat hip pain. Which of the following instructions should the nurse include in the teaching?

A clinic nurse is giving instructions to a mother on the proper technique of applying ophthalmic ointment to her preschool-age child who has conjunctivitis. Which of the following should the nurse include in the instructions?

A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instructions should the nurse include in the teaching?

A nurse is planning to administer butorphanol to a client Who is in labor. Which of the following medications should the nurse plan to have available to reverse the action of this medication?