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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Free Nursing Study Resources

Correct Answer is D

Explanation

Aluminum compounds have a constipating effect due to reduced bowel movements and potential discomfort.

A. Flatulence is less common with aluminum hydroxide compared to magnesium-containing antacids.
B. Headache is not a common side effect of aluminum hydroxide.
C. Palpitations are not a known adverse reaction to aluminum hydroxide.

A. “I will take the medication for diarrhea” B. “I can take this medication along with mineral oil." C. "I should drink 4 ounces of water when I take the medication." D. "It might take up to 3 days for the medication to work."

Correct Answer is D

Explanation

Docsate takes effect in 1-3 days. It is a stool softener that works by increasing the amount of water in stool making it easier to pass across the gut. It does not take effect immediately.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client Who has a new prescription for aluminum hydroxide to treat heartburn. The nurse should instruct the client to monitor for and report Which of the following adverse reactions?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who takes opioid pain medication and has a new prescription for docusate sodium. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is teaching a client about taking an expectorant to treat a cough. The nurse should explain that this type of medication has which of the following actions?

A nurse is providing teaching to a client Who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?

A nurse is providing teaching to a client who has a new diagnosis of hypothyroidism. On which of the following medications should the nurse prepare to instruct the client?

A nurse in a public clinic is planning a health fair for older adult clients in the community. In teaching medication safety. Which of the following foods should the nurse advise the clients to avoid when taking their prescriptions?

A nurse is completing a medication history for a client Who reports using over-the-counter calcium carbonate antacid. Which of the following recommendations should the nurse make about taking this medication?

A nurse is caring for a client who has Wernicke—Korsakoff psychosis as a result of chronic alcohol use disorder. Which of the following interventions should the nurse anticipate?

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?

A nurse is providing teaching to a client Who has a new diagnosis of Parkinson's disease. On Which of the following medications should the nurse prepare to instruct the client?