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 A

Explanation

Rifampin and pyrazinamide are hepatotoxic agents that may cause liver failure. The client should therefore have serial liver function tests to promote client safety while on the medications.
B, C, D- Rifampin and pyrazinamide have no effect on the thyroid, blood glucose or gall bladder.

A. Vomiting B. Peripheral edema C. Headache D. Dry mouth

Correct Answer is A

Explanation

Lactulose is used to treat hepatic encephalopathy in clients with cirrhosis. It works by promoting the excretion of ammonia in the stool, thus reducing its absorption in the intestines and helping to manage hepatic encephalopathy. However, if lactulose is administered too quickly or in excessive amounts, it can cause gastrointestinal side effects such as vomiting.

Lactulose does not cause peripheral edema, headache, dry mouth

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin and pyrazinamide. Which of the following laboratory tests should the nurse instruct the client will be required while on this medication regimen?

Correct Answer is A

Explanation

A nurse is caring for a client who has cirrhosis and a new prescription for lactulose. Which of the following manifestations indicates an adverse effect of the medication?

Correct Answer is A

Explanation

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 is experiencing severe nausea and vomiting after a course of chemotherapy. The nurse should monitor the client for which of the following clinical manifestations?

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 caring for a client who has a prescription for olanzapine. The nurse should monitor the client for which of the following manifestations as an expected response to this medication?

A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?

A nurse is preparing to administer phenytoin 50 mg IV bolus to a client Who has a seizure disorder. The medication is supplied as a 50 mg/mL vial. Which of the following actions should the nurse take?

A nurse is providing teaching to a client Who has a new prescription for levothyroxine for hypothyroidism. The nurse should instruct the client to avoid Which of the following herbal supplements?

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?