After an intramuscular injection of penicillin, a patient develops severe difficulty breathing and a swollen tongue. Which medication should the nurse prepare to administer?

Dopamine

Epinephrine

Norepinephrine

Pseudoephedrine

Answer and Explanation

The Correct Answer is B

Choice A rationale: Dopamine is not the appropriate medication for an allergic reaction. It is a neurotransmitter and is not used in the treatment of anaphylaxis.
Choice B rationale: Epinephrine is the first-line treatment for anaphylaxis, including severe difficulty breathing and swelling of the tongue. It acts quickly to reverse the symptoms of an allergic reaction.
Choice C rationale: Norepinephrine is not the medication of choice for an allergic reaction. It primarily acts as a vasoconstrictor and is used in conditions like septic shock.
Choice D rationale: Pseudoephedrine is a decongestant and is not the appropriate medication for treating an allergic reaction with respiratory distress.

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Correct Answer is D

Explanation

Choice A rationale: Loquaciousness, altered judgment, and euphoria are not typical findings of a disulfiram reaction.
Choice B rationale: Confusion, nystagmus, and abnormal eye movements are not typical findings of a disulfiram reaction.
Choice C rationale: Cramps, hallucinations, and intense tremors are not typical findings of a disulfiram reaction.
Choice D rationale: This is correct. Nausea, copious vomiting, flushing, and headache are classic symptoms of a disulfiram reaction (acetaldehyde syndrome) when alcohol is consumed while taking disulfiram (Antabuse).

A. A History of anaphylactic reaction to a specific vaccine or vaccine component B. Moderate local reaction following a dose of an injectable vaccine C. Presence of moderate or severe illnesses with or without a fever D. Current treatment with antimicrobial medication

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

Explanation

Choice A rationale: A history of anaphylactic reaction to a specific vaccine or its components is a contraindication, as it indicates a severe allergic response.
Choice B rationale: A moderate local reaction to a vaccine is not an absolute contraindication. It may be considered when weighing risks and benefits.
Choice C rationale: The presence of moderate or severe illnesses, with or without a fever, is an absolute contraindication, as vaccines may exacerbate existing illness.
Choice D rationale: Current treatment with antimicrobial medication is not an absolute contraindication to vaccination in children.

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After an intramuscular injection of penicillin, a patient develops severe difficulty breathing and a swollen tongue. Which medication should the nurse prepare to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse will suspect a disulfiram reaction (acetaldehyde syndrome) in a client with alcohol use disorder (AUD) with the following assessment findings:

Correct Answer is D

Explanation

Absolute contraindications to vaccine administration in children include (select all that apply)

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

Explanation

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