A nurse is caring for a client who states that his provider told him he is at risk for anaphylaxis following administration of amoxicillin and that he does not understand what this means.
Which of the following is an appropriate response by the nurse?
Anaphylaxis is an unusual response that can occur due to an inherited predisposition.
Anaphylaxis is a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose.
Anaphylaxis is a severe hypersensitivity or allergic reaction that is life-threatening.
Anaphylaxis will cause you to experience withdrawal symptoms when you discontinue taking the medication.
The Correct Answer is C
Choice A rationale:
Anaphylaxis is not an unusual response due to an inherited predisposition. It’s an acute allergic reaction.
Choice B rationale:
Anaphylaxis is not a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose. It’s an unpredictable and severe allergic reaction.
Choice C rationale:
Anaphylaxis is indeed a severe hypersensitivity or allergic reaction that is life-threatening. It requires immediate medical attention.
Choice D rationale:
Anaphylaxis will not cause withdrawal symptoms when you discontinue taking the medication. It’s an immediate allergic reaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Reminding the client not to turn from side to side is not the most appropriate action. While it is important to limit movement after a cardiac catheterization, it is not the most critical action.
Choice B rationale:
Checking pedal pulses every 15 min is the most appropriate action. This is to monitor for signs of vascular compromise, which can occur after a cardiac catheterization with a femoral artery approach.
Choice C rationale:
Keeping the client in high-Fowler’s position for 6 hr is not the most appropriate action. While positioning can be important, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
Choice D rationale:
Performing passive range-of-motion for the affected extremity is not the most appropriate action. While it is important to maintain mobility, it is not the most critical action after a cardiac catheterization with a femoral artery approach.
Correct Answer is D
Explanation
Choice A rationale:
Chambers refer to the four compartments of the heart, not a layer of the heart.
Choice B rationale:
Pericardium is the sac that surrounds the heart, not a layer of the heart itself.
Choice C rationale:
Epicardium is the outermost layer of the heart, not the innermost.
Choice D rationale:
Endocardium is indeed the innermost layer of the heart, lining the inner surfaces of the heart chambers and valves.
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