A nurse is preparing to administer the initial dose of penicillin G IM to a client. The nurse should monitor for which of the following as an indication of an allergic reaction following the injection?
Pallor
Dyspepsia
Bradycardia
Urticaria
The Correct Answer is D
A. Pallor: Pallor refers to paleness of the skin and is not typically associated with an allergic reaction to penicillin G IM.
B. Dyspepsia: Dyspepsia refers to indigestion or discomfort in the upper abdomen and is not typically associated with an allergic reaction to penicillin G IM.
C. Bradycardia: Bradycardia refers to a slow heart rate and is not typically associated with an allergic reaction to penicillin G IM.
D. Urticaria: Urticaria, commonly known as hives, is a characteristic manifestation of an allergic reaction to penicillin G IM. It presents as raised, red, itchy welts on the skin.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A. Treatment for active pulmonary tuberculosis typically lasts 6 to 9 months, not 3 years.
B. Monitoring kidney function is not typically required for tuberculosis medication; however, liver function tests may be needed.
C. Tuberculin skin tests are used for diagnosis, not for monitoring treatment progress.
D. Treatment of active pulmonary tuberculosis usually involves a combination of antibiotics, typically two or more medications, to prevent the development of drug-resistant strains.
Correct Answer is D
Explanation
A. Ringing in the ears (tinnitus) is not a common adverse effect of midazolam.
B. Urinary retention is not a common adverse effect of midazolam.
C. Midazolam typically causes decreased blood pressure, not increased blood pressure.
D. Respiratory depression is a potential adverse effect of midazolam, particularly when administered in higher doses or in combination with other central nervous system depressants.
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