A postoperative patient is undergoing antibiotic therapy. She has never had any problems taking medications in the past. When the nurse hung the second dose of IV antibiotics, the patient suddenly developed hives and itching. The nurse recognized this was most likely a(n):
allergic reaction.
side effect.
toxic effect.
idiosyncratic reaction.
The Correct Answer is A
A. An allergic reaction is an immune response to a medication, even if the patient has taken the medication before without issues. Symptoms like hives and itching are classic signs of an allergic reaction.
B. A side effect is an expected, often mild and predictable reaction to a medication, not typically involving an immune response and severe symptoms like hives.
C. A toxic effect refers to harmful effects from a medication overdose or accumulation in the body, not sudden onset after an appropriate dose.
D. An idiosyncratic reaction is an uncommon response not related to allergies or toxic effects, usually not presenting with hives and itching.
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Related Questions
Correct Answer is C
Explanation
A. To find the number of tablets to administer: 0.25 mg (prescribed dose) ÷ 0.125 mg/tablet (available dose) = 2 tablets.
B. To find the number of tablets to administer: 0.25 mg (prescribed dose) ÷ 0.125 mg/tablet (available dose) = 2 tablets.
C. To find the number of tablets to administer: 0.25 mg (prescribed dose) ÷ 0.125 mg/tablet (available dose) = 2 tablets.
D. To find the number of tablets to administer: 0.25 mg (prescribed dose) ÷ 0.125 mg/tablet (available dose) = 2 tablets.
Correct Answer is C
Explanation
A. Documenting at the end of the shift can lead to inaccuracies due to the delay, potentially causing errors if other staff need up-to-date information. It also increases the risk of forgetting details of the administration, compromising patient safety.
B. Documenting before administering the medications can lead to discrepancies if the medications are not given as planned. This practice could result in serious errors if the patient refuses the medication or if changes occur that affect administration.
C. Documenting immediately ensures that the record is accurate and reflects the current status of the patient’s medication regimen. It also allows other healthcare providers to see up-to-date information, which is crucial for ongoing patient care and safety.
D. Delaying documentation until a convenient time can lead to incomplete or forgotten details, increasing the risk of medication errors. Timely documentation is essential to maintain an accurate and reliable medical record.
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