A nurse is caring for an adolescent who has an allergy to penicillin. Which of the following prescriptions should the nurse clarify with the provider?

Doxycycline

b) Vibranycin

Cefazolin

Gentamicin

Answer and Explanation

The Correct Answer is C

The nurse should clarify the prescription for cefazolin with the provider. Cefazolin is a cephalosporin antibiotic, and there is a risk of cross-reactivity in individuals who have an allergy to penicillin.

a) Doxycycline and b) Vibramycin (which is another name for doxycycline) are tetracycline antibiotics and are not related to penicillin.

d) Gentamicin is an aminoglycoside antibiotic and is also not related to penicillin.

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Correct Answer is C

Explanation

A nurse reviewing the laboratory results of a client who has DKA should identify that the client's ABG results of pH 7.30, PaCO₂ 34 mm Hg and HCO₃ 21 mEq/L indicate metabolic acidosis. Metabolic acidosis is an acid-base imbalance characterized by a low pH (less than 7.35) and a low bicarbonate level (less than 22 mEq/L).

The other options are not correct.

a) Respiratory alkalosisis an acid-base imbalance characterized by a high pH (greater than 7.45) and a low PaCO₂ (less than 35 mm Hg).

b) Metabolic alkalosisis an acid-base imbalance characterized by a high pH (greater than 7.45) and a high bicarbonate level (greater than 26 mEq/L).

d) Respiratory acidosisis an acid-base imbalance characterized by a low pH (less than 7.35) and a high PaCO₂ (greater than 45 mm Hg).

A. Vomiting B. Confusion C. Incontinence D. Tinnitus

Correct Answer is B

Explanation

A nurse collecting data for a client following electroconvulsive therapy should expect that the client may experience confusion as an adverse eﬀect. Confusion is a common side eﬀect of electroconvulsive therapy and can last for minutes to hours after treatment.

The other options are not typical adverse eﬀects of electroconvulsive therapy.

a) Vomitingis not a typical adverse eﬀect of electroconvulsive therapy.

c) Incontinenceis not a typical adverse eﬀect of electroconvulsive therapy.

d) Tinnitusis not a typical adverse eﬀect of electroconvulsive therapy.

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A nurse is caring for an adolescent who has an allergy to penicillin. Which of the following prescriptions should the nurse clarify with the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who has DKA. The client's ABG results are pH 7.30, PaCO₂ 34 mm Hg and HCO₃ 21 mEq/L. The nurse should identify that these values indicate which of the following acid-base imbalances?

Correct Answer is C

Explanation

A nurse is collecting data for a client following electroconvulsive therapy. Which of the following adverse eﬀects should the nurse expect?

Correct Answer is B

Explanation

A nurse is contributing to the plan of care for a school-age child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following should the nurse recommend to include in the plan of care?

A nurse is preparing a client who has a small bowel obstruction for insertion of a nasogastric tube. Which of the following equipment should the nurse gather prior to the procedure?

A nurse is monitoring an assistive personnel (AP) who is applying elastic antiembolic stockings for a client who has phlebitis. Which of the following actions by the AP indicates that they are performing the skill correctly?

A nurse is assisting with the care of an adolescent who is scheduled for surgery. Which of the following actions should the nurse plan to take?

A nurse administered an IM injection to a client. Which of the following actions should the nurse take to reduce the risk of a needlestick injury?

A nurse receives report on four clients. The nurse should first collect data about the client who has which of the following?

A nurse is preparing to instill an otic suspension into an adult client's ear. Which of the following methods should the nurse plan to use?

A nurse is reinforcing teaching with a client who is about to undergo an upper gastrointestinal series with ﬂuoroscopy. Which of the following information should the nurse provide?