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.

Bradycardia.

Urticaria.

Dyspepsia.

Answer and Explanation

The Correct Answer is C

Urticaria, also known as hives, is a common sign of an allergic reaction to penicillin. An allergic reaction is an abnormal response of the immune system to the drug. Other signs and symptoms of penicillin allergy may include skin rash, itching, fever, swelling, shortness of breath, wheezing, runny nose, itchy eyes, and anaphylaxis. Anaphylaxis is a rare but life-threatening condition that affects multiple body systems and requires immediate emergency treatment.

Choice A is wrong because pallor is not a typical sign of an allergic reaction to penicillin.

Pallor means pale skin and may be caused by other conditions such as anemia or shock.

Choice B is wrong because bradycardia is not a typical sign of an allergic reaction to penicillin.

Bradycardia means slow heart rate and may be caused by other conditions such as heart block or medication side effects.

Choice D is wrong because dyspepsia is not a typical sign of an allergic reaction to penicillin.

Dyspepsia means indigestion and may be caused by other conditions such as gastritis or peptic ulcer.

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Correct Answer is A

Explanation

The client should stay upright for at least 15 minutes after taking ferrous gluconate to prevent oesophagal irritation. Choice B is wrong because taking an antacid with ferrous gluconate can decrease its absorption and effectiveness.

Choice C is wrong because taking ferrous gluconate with milk can also reduce its absorption and cause gastrointestinal distress.

Choice D is wrong because black stools are a common and harmless side effect of ferrous gluconate and do not indicate a need to notify the provider. Ferrous gluconate is an iron supplement used to treat or prevent iron deficiency anaemia, a condition where the body does not have enough red blood cells to carry oxygen to the tissues.

Iron is an essential component of haemoglobin, the protein that carries oxygen in the blood.

A. Administer epinephrine IM. B. Replace the infusion with 0.9% sodium chloride. C. Give diphenhydramine IM. D. Elevate the clients legs and feet.

Correct Answer is A

Explanation

Epinephrine (adrenaline) is the first-line treatment for anaphylaxis, a severe and potentially life-threatening allergic reaction. Epinephrine works by reducing the body’s allergic response and improving the breathing and circulation of the client. Epinephrine should be given as soon as possible after the onset of anaphylaxis symptoms, using an auto-injector device if available.

Choice B is wrong because replacing the infusion with 0.9% sodium chloride (normal saline) is not enough to treat anaphylaxis. Normal saline can help maintain the blood pressure and hydration of the client, but it does not reverse the allergic reaction or improve the breathing of the client. Normal saline can be given after epinephrine, but not before or instead of it.

Choice C is wrong because giving diphenhydramine IM is not enough to treat anaphylaxis. Diphenhydramine is an antihistamine that can help relieve some of the symptoms of anaphylaxis, such as itching and hives, but it works too slowly and does not address the more serious effects of anaphylaxis on the breathing and circulation of the client. Diphenhydramine can be given after epinephrine, but not before or instead of it.

Choice D is wrong because elevating the client's legs and feet is not enough to treat anaphylaxis. Elevating the legs and feet can help increase the blood flow to the vital organs, but it does not reverse the allergic reaction or improve the breathing of the client. Elevating the legs and feet can be done after epinephrine, but not before or instead of it.

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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 teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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