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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Pedal edema is not typically associated with an acute infusion reaction to amphotericin B.

B. A dry cough is not typically associated with an acute infusion reaction to amphotericin B.

C. Fever is a common manifestation of an acute infusion reaction to amphotericin B, indicating a systemic inflammatory response.
D. Hyperglycemia is not typically associated with an acute infusion reaction to amphotericin B.

A. Discard the medication if it is yellow. B. Prime the tubing with 0.9% sodium chloride. C. Administer the medication over 2 hr. D. Use a gravity flow set.

Correct Answer is C

Explanation

A. Amphotericin B lipid complex typically appears as a yellowish suspension, so discarding it for being yellow would result in unnecessary waste.

B. The tubing isnt necessary when administering amphotericin B.

C. Guidelines suggest that administering by IV infusion over 2-6 hours.
D. Amphotericin B lipid complex should be administered using an infusion pump to ensure accurate dosing and control of the infusion rate, rather than relying on gravity flow.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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