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 C

Explanation

Choice A rationale:

While it’s important for the provider to be informed if the medication isn’t working, it’s premature to change the medication after only 6 days.

Choice B rationale:

Amitriptyline does not need to be taken on an empty stomach to be effective.

Choice C rationale:

Amitriptyline, a tricyclic antidepressant, often takes several weeks before a therapeutic effect is felt.

Choice D rationale:

Increasing the dose prematurely can lead to unnecessary side effects. It’s better to wait for the medication to take effect.

A. Two loose stools in the past 24 hr. B. WBC 11,000/mm³. C. Heart rate 104/min. D. Creatinine 3.1 mg/dL.

Correct Answer is D

Explanation

Choice A rationale:

Two loose stools in the past 24 hours could be a symptom of Clostridioides difficile infection, but it’s not necessarily a priority finding. The infection can cause diarrhea, but it’s not life-threatening.

Choice B rationale:

A WBC count of 11,000/mm³ is slightly elevated, indicating a possible infection. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice C rationale:

A heart rate of 104/min is slightly elevated, indicating possible stress or anxiety. However, it’s not necessarily a priority finding as it’s not significantly high.

Choice D rationale:

Creatinine level of 3.1 mg/dL is significantly high, indicating possible kidney damage, which can be a side effect of vancomycin treatment. This should be reported to the provider immediately.

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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

A nurse is caring for a client who started taking amitriptyline 6 days ago.The client reports that the medication is not helping.Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is collecting data from a client who is receiving vancomycin for a Clostridium difficile infection.Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is D

Explanation

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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?