A nurse is caring for a client who is receiving ceftriaxone intravenously.
Which of the following manifestations should the nurse identify as an allergic reaction?

Polyuria.

Hypotension.

Nausea.

Bradycardia.

Answer and Explanation

The Correct Answer is B

This is because hypotension (low blood pressure) can be a sign of anaphylaxis, which is a severe allergic reaction that can occur with ceftriaxone.

Choice A is wrong because polyuria (increased urination) is not a common sign of an allergic reaction to ceftriaxone.
Choice C is wrong because nausea can be a side effect of ceftriaxone but is not specific to an allergic reaction.
Choice D is wrong because bradycardia (slow heart rate) is not a common sign of an allergic reaction to ceftriaxone.

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Correct Answer is C

Explanation

First, convert the client’s weight from pounds to kilograms: 121 lb /.2 = 55 kg. Then, calculate the dose in mg: 1 mg/kg * 55 kg = 55 mg.

Finally, use the ratio of available enoxaparin to calculate the volume to administer: (55 mg / 60 mg) * 0.6 mL = 0.55 mL.

Rounded to the nearest tenth, this is 0.6 mL.

Choice A is wrong because it is less than the calculated dose of 0.6 mL.

Choice B is wrong because it is equal to the calculated dose of 0.6 mL but not rounded to the nearest tenth.

Choice D is wrong because it is greater than the calculated dose of 0.6 mL.

A. "I will limit potassium-rich foods in my diet.” B. "I will take the medication on an empty stomach.” C. "I will use salt substitutes in place of table salt.” D. "I will double up on my medication if I miss a dose.”

Correct Answer is A

Explanation

Spironolactone is a potassium-sparing diuretic that can increase potassium levels in the blood.

It is important for clients taking spironolactone to limit their intake of potassium-rich foods to prevent hyperkalemia (high potassium levels).

Choice B is wrong because “I will take the medication on an empty stomach,” is not the correct answer because spironolactone can be taken with or without food.

Choice C is wrong because “I will use salt substitutes in place of table salt,” is not the correct answer because many salt substitutes contain potassium and can increase the risk of hyperkalemia.

Choice D is wrong because “I will double up on my medication if I miss a dose,” is not the correct answer because it is not recommended to double up on medication if a dose is missed.

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A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is providing discharge teaching to a client who has a new prescription for spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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A nurse is caring for a client who is receiving ceftriaxone intravenously.
Which of the following manifestations should the nurse identify as an allergic reaction?