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.
Elevate the head of the bed.
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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Related Questions
Correct Answer is B
Explanation
Baclofen is a muscle relaxant use to manage muscle spasm in clients with neuromuscular disorders such as multiple sclerosis. Dizziness and drowsiness are among the common side effects of baclofen. Concurrent use of antihistamines can worsen the drowsiness because antihistamines also have a sedative effect
A. Baclofen commonly causes constipation
C. Baclofen can be taken even with a headache
D. Baclofen can be taken with or without food.
Correct Answer is B
Explanation
alcohol withdrawal can present with agitation, anxiety, seizures and hallucinations. Diazepam is a benzodiazepine that helps to control the symptoms by potentiating the inhibitory mechanisms of the brain.
A. Buprenorphine is an opioid uses in pain management.
C. Disulfiram is used in the management of alcohol use disorder
D. Methadone is an opioid used in management of pain and opioid dependence.
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