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 C

Explanation

In liver cirrhosis, the impaired liver function leads to increased levels of ammonia in the blood. Such high levels can lead to hepatic encephalopathy. Use of lactulose promotes excretion of ammonia through acidification of ammonia to ammonium ions which are not readily absorbed into the blood stream.
A, B, D- Lactulose does not affect potassium, glucose and bicarbonate levels in the bloodstream.

A. Monitor for increased muscle spasms. B. Discontinue medication if nausea occurs. C. Avoid driving until effects are known. D. Expect urine to turn orange.

Correct Answer is C

Explanation

Cyclobenzaprine is a muscle relaxant used to relieve muscle spasms in various musculoskeletal conditions. One of the common side effects of cyclobenzaprine is drowsiness and impaired cognitive function, which can affect the ability to operate machinery or drive safely.
A. Cyclobenzaprine is used to reduce muscle spasms, so monitoring for increased muscle spasms would not be appropriate.
B. Nausea can be a common side effect of cyclobenzaprine, but it does not typically require discontinuation of the medication unless it is severe or persistent and causing significant distress.
D. Cyclobenzaprine does not typically cause urine discoloration, so expecting urine to turn orange is not relevant to the medication.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is teaching a client Who has a new prescription for cyclobenzaprine. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

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?

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?

A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching?

A nurse is preparing to administer medications to a client who states, "I don 't want to take those drugs." Which of the following actions should the nurse take?

A nurse is planning care for a client who has a detached retina and is preoperative for a surgical repair. The nurse should prepare to administer which of the following medications?

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 preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?