A nurse is reviewing the medical record of a client who just returned to the unit following surgery and notes the client has a history of anaphylaxis in response to penicillin. The client's postoperative prescriptions include a dose of cephalexin. Which of the following actions should the nurse take?

Ask the provider to prescribe diphenhydramine as a precaution.

Hold the medication until the provider makes rounds.

Request that the surgeon prescribe a different antibiotic.

Administer the medication.

Answer and Explanation

The Correct Answer is C

Rationale- The client is at risk of a life-threatening anaphylaxis as cross reactivity occurs between cephalosporin and penicillin as they both contain a beta lactam ring. Cephalexin should be avoided completely
A. Diphenhydramine is used for mild reactions but not anaphylaxis
B. waiting for rounds delays the client’s medication and hence inappropriate

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Correct Answer is C

Explanation

Rationale-blowing the nose clears any mucus plugs allowing for optimal absorption
A. Lying on the side post application may lead to spillage of the applied drop
B. Holding the dropper too far leads to spillage with too little medication getting to the desired area
D. Tilting the head too long may lead to unnecessary irritation

A. A client who is about to have surgery B. A client who has suddenly developed symptomatic tachycardia with a heart rate of 180 beats/min C. A client newly diagnosed with myasthenia gravis D. A client who has suddenly developed symptomatic bradycardia with a heart rate of 32 beats/min E. A client with severe narrow-angle glaucoma

Correct Answer is ["A","D"]

Explanation

A. Atropine sulfate reduce the production of bronchial secretions leading to easy intubation. This reduction in airway secretion ensures smooth intubation
D. Atropine is an anticholinergic that binds on to the muscarinic receptors on the heart to produce block the parasympathetic impulses. This mechanism is used to manage bradycardia
B. Tachycardia is managed through vagal maneuvers if stable and cardioversion or antiarrhythmics
C. Myasthenia gravis is managed using acetylcholinesterase inhibitors
E. Cholinergic agonists are used in narrow angle glaucoma

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is administering nasal decongestant drops for a client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these clients? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

A client with a tracheostomy has difficulty removing excessive, thick mucus from the respiratory tract. The nurse expects that which drug will be ordered to aid in the removal of mucus?

A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?

The nurse is developing a care plan for a client who will be self-administering a metered-dose inhaler. Which statement reflects a measurable outcome?

A client is in the urgent care center after experiencing a black widow spider bite. The nurse prepares to give which product to treat this injury?

A client has been taking lithium for 1 year, and the most recent lithium level is 0.9 rnEq/L. Which statement about the laboratory result is correct?

During an assessment, the client tells the nurse that he eats large amounts of garlic for its cardiovascular benefits. Which drug or drug class, if taken, would have a potential interaction with the garlic?

A client is receiving heparin therapy as part of the treatment for a pulmonary embolism. The nurse monitors the results of which laboratory test to check the drug's effectiveness?