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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. A PRN order is given as needed, based on the patient's condition or request.
B. A STAT order is for immediate administration.
C. A one-time order is for a single, specific instance.
D. A standing order is a pre-established and approved set of instructions for specific situations.

A. A client who has a respiratory infection B. A client who has hyperthyroidism C. A client who requires dialysis D. A client who has back pain

Correct Answer is C

Explanation

A. While a respiratory infection might require medication, it does not inherently increase the risk of toxicity.
B. Hyperthyroidism affects metabolism but is not the most significant risk factor for medication toxicity compared to impaired renal function.
C. A client who requires dialysis has impaired kidney function, reducing the body's ability to excrete medications and increasing the risk of toxicity.
D. Back pain alone does not increase the risk of medication toxicity unless it involves medications that could cause toxicity.

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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):

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The health care provider orders pain medication to be given to a patient when the patient needs it to control pain. What type of order is this called?

Correct Answer is A

Explanation

A nurse is caring for a group of clients. Which of the following clients should the nurse identify is at the greatest risk of developing medication toxicity?

Correct Answer is C

Explanation

The nurse has an order to give Lopressor 75 mg po. Lopressor is available in a 50 mg tablet. How many tablets should the nurse administer?

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A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?

A nurse caring for a client who has a new prescription for atenolol. For which of the following adverse effects should the nurse monitor the client?

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A nurse is reinforcing teaching with a client who has a new prescription for hydochlorothiazide. Which of the following information should the nurse include?

A patient with a respiratory infection asks the nurse why some antibiotics are prescribed to be given every 12 hours while others have to be taken 4 times per day. What is the nurse's best response?