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
Related Questions
Correct Answer is B
Explanation
A. Warming the formula to room temperature would not address hyperkalemia.
B. Hyperkalemia can lead to cardiac dysrhythmias, so placing the client on a cardiac monitor
allows for continuous cardiac monitoring to detect any changes or abnormalities in heart rhythm.
C. Administering IV dextrose is not typically indicated for hyperkalemia. Instead, insulin may be administered with dextrose to promote cellular uptake of potassium.
D. Requesting a lactose-free formula is not relevant to the management of hyperkalemia.
Correct Answer is ["7.5"]
Explanation
Convert the client's weight from pounds to kilograms. We can use the formula 1 kg = 2.2 lb. So, 132 lb / 2.2 = 60 kg.
Calculate the total daily dose of chloramphenicol for the client. We can use the formula Dose (mg) = Weight (kg) x Dosage (mg/kg). So, 60 kg x 50 mg/kg = 3000 mg.
Divide the total daily dose by 4 to get the dose for each administration. So, 3000 mg / 4 = 750 mg.
Calculate the volume of chloramphenicol solution needed for each dose. We can use the formula Volume (mL) = Dose (mg) / Concentration (mg/mL). So, 750 mg / 100 mg/mL =
7.5 mL.
Round the answer to the nearest tenth. So, the nurse should give 7.5 mL of chloramphenicol solution with each dose.
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