A nurse is teaching a client who experiences anaphylaxis from bee stings about an epinephrine auto-injector. Which of the following client statements indicates an understanding of the teaching?

"I should shake the device if the medication appears brown."

"I should not massage the injection area."

"I will inject the medication in the top of my thigh."

"I will refrigerate the injection device when I am at home."

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Shaking the auto-injector is not recommended as it could disrupt the medication's effectiveness. Epinephrine auto-injectors contain two separate components that need to be mixed upon injection.

Choice B rationale:

Massaging the injection site after using the auto-injector can actually help disperse the medication and promote absorption and reduce pain and swelling.

Choice C rationale:

Injecting the medication into the top of the thigh is the correct administration site and technique for an epinephrine auto-injector. It's a large muscle area that allows for rapid absorption.

Choice D rationale:

Epinephrine auto-injectors should not be refrigerated, as extreme temperatures can affect their functionality. The client should store the device at room temperature away from light and heat sources.

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Correct Answer is B

Explanation

Choice A rationale:

A 7-month-old infant with Down syndrome is less likely to use a spoon.

Choice B rationale:

Crawling short distances is a developmental milestone that can be expected at this age.

Choice C rationale:

Speaking five to eight words is not an appropriate milestone for a 7-month-old infant.

Choice D rationale:

Standing with assistance usually occurs around 9-12 months, which might be delayed in infants with Down syndrome.

A. Positive Rheumatoid factor B. WBC count 2.000/mm3 C. Hemoglobin 14.8 g/dL D. Erythrocyte sedimentation rate 24 mm/hr

Correct Answer is B

Explanation

Choice A rationale:

A positive Rheumatoid factor is associated with rheumatoid arthritis and is not an adverse effect of methotrexate.

Choice B rationale:

A low WBC count (leukopenia) is an adverse effect of methotrexate and can increase the risk of infection.

Choice C rationale:

A hemoglobin level of 14.8 g/dL is within a normal range and is not an adverse effect of methotrexate.

Choice D rationale:

An erythrocyte sedimentation rate (ESR) of 24 mm/hr is within a normal range and is not an adverse effect of methotrexate.

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A nurse is teaching a client who experiences anaphylaxis from bee stings about an epinephrine auto-injector. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 7-month-old infant who has Down syndrome. Which of the following developmental milestones should the nurse expect?

Correct Answer is B

Explanation

A nurse is monitoring the laboratory values of a client who has rheumatoid arthritis and is taking methotrexate. Which of the following values should the nurse identify as an adverse effect of the medication?

Correct Answer is B

Explanation

A nurse is providing teaching to the parents of a child who has cerebral palsy and a new prescription for baclofen. The nurse should instruct the parents to monitor the child for which of the following adverse effects of the medication?

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