A nurse is collecting data from a client who has a new prescription for amoxicillin.
Which of the following findings indicates that the client is having an allergic reaction to the medication?

Wheezing.

Bradycardia.

Polyuria.

Bruising.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Wheezing can be a sign of an allergic reaction to amoxicillin. It indicates that there may be constriction or inflammation in the airways, which can occur in an allergic reaction.

Choice B rationale:

Bradycardia, or a slower than normal heart rate, isn’t typically associated with an allergic reaction to amoxicillin.

Choice C rationale:

Polyuria, or excessive urination, isn’t typically a sign of an allergic reaction to amoxicillin.

Choice D rationale:

Bruising isn’t typically associated with an allergic reaction to amoxicillin. It could be related to other conditions or medications.

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Correct Answer is B

Explanation

Choice A rationale:

Asking the client to demonstrate dose delivery can be part of patient education and helps ensure that the client understands how to use the PCA device. This action does not require intervention.

Choice B rationale:

The nurse administering a PCA dose for the client requires intervention. PCA stands for “Patient-Controlled Analgesia,” meaning that only the patient should administer doses to themselves. This prevents overdosing and ensures that pain medication is administered according to the patient’s needs.

Choice C rationale:

Reassuring the client that the PCA device will not cause an overdose is appropriate because PCA devices are designed with safety measures to prevent overdosing.

Choice D rationale:

Monitoring for oversedation is an important part of care for a client using a PCA device. This action does not require intervention.

A. Dissolve the medication in 30 mL of water. B. Maintain the client in the supine position during medication administration. C. Add the medication to the enteral feeding formula. D. Flush the tube with 5 mL of water after administering the medication.

Correct Answer is A

Explanation

Choice A rationale:

Dissolving the medication in 30 mL of water is the correct action. This ensures that the medication is in a suitable form for administration via an NG tube and helps prevent the tube from becoming blocked.

Choice B rationale:

Maintaining the client in the supine position during medication administration is not recommended. This position increases the risk of aspiration. Instead, the client should be in an upright position during medication administration and for at least 30 minutes afterward.

Choice C rationale:

Adding the medication to the enteral feeding formula is not recommended. This can alter the effectiveness of the medication and can also clog the feeding tube.

Choice D rationale:

Flushing the tube with 5 mL of water after administering the medication is not enough. The tube should be flushed with at least 15-30 mL of water before and after medication administration to ensure that the entire dose has been administered and to prevent clogging of the tube.

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A nurse is collecting data from a client who has a new prescription for amoxicillin.Which of the following findings indicates that the client is having an allergic reaction to the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is collecting data from a client who has a new prescription for amoxicillin.
Which of the following findings indicates that the client is having an allergic reaction to the medication?