Ten minutes after initiating an intravenous antibiotic, the client complains of shortness of breath, itching, and difficulty swallowing. What is the nurse's initial action?

Prepare to administer prescribed epinephrine

Assess the client's apical pulse and blood pressure

Stop infusing the client's intravenous antibiotic

Administer 4 liters of oxygen via nasal cannula

Answer and Explanation

The Correct Answer is C

A.   While epinephrine is crucial in cases of anaphylaxis, it should not be the first action taken. The immediate priority is to stop the offending medication.
B.   While assessing vital signs is important, it is not the first action. The primary concern is to halt the exposure to the potential allergen.
C.   The first action in this situation should be to immediately stop the infusion of the antibiotic. This prevents further exposure to the allergen and is critical to managing the potential anaphylactic reaction.

D.   While providing oxygen may be necessary later if the client is hypoxic, the immediate priority is to stop the infusion of the antibiotic first. Administering oxygen is important but comes after halting the offending agent.

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

Explanation

A. While maintaining adequate hydration is important for overall health and can help the kidneys function properly, this statement alone does not capture the full scope of kidney-related issues associated with diabetes, such as diabetic nephropathy. It’s important to emphasize regular monitoring of kidney function through lab tests (e.g., microalbuminuria) as part of diabetes management.
B. People with diabetes are at increased risk for eye complications such as diabetic retinopathy, cataracts, and glaucoma. Regular eye exams are essential for early detection and management of these conditions, making this information critical for a client with diabetes.
C. Many sources recommend at least annual foot exams, but those with neuropathy or previous foot problems may need more frequent evaluations (every 3 to 6 months). This statement is generally accurate but should be tailored to the individual's risk factors.
D. Regular physical activity is generally recommended for individuals with diabetes as it improves insulin sensitivity, helping to manage blood glucose levels. While extreme exercise without proper management can lead to complications, stating that excessive exercise increases insulin resistance is misleading. The key is to balance exercise with proper nutrition and medication.

A. limit intake to non-caloric containing liquids until the glucose is within normal limits. B. monitor blood glucose levels every 4 hours and go to the clinic if it continues to rise. C. decrease intake of carbohydrates until blood glucose level is less than 200 mg/dL D. hold the morning prescribed dose of insulin.

Correct Answer is B

Explanation

A. While staying hydrated is essential, especially during illness, limiting intake to non-caloric liquids could lead to inadequate caloric intake and worsen the client’s condition. Instead, the client should maintain a balanced intake of fluids and carbohydrates as tolerated.
B. This is a reasonable approach. Monitoring blood glucose levels regularly allows the client to assess how their body is responding to the illness and any adjustments in insulin. If the levels continue to rise, it is important for the client to seek medical attention to prevent complications like diabetic ketoacidosis (DKA).
C. While it is important to manage carbohydrate intake, completely decreasing carbohydrate intake can lead to inadequate caloric consumption, which is especially risky during an illness. The body needs energy, and people with diabetes must balance carbohydrate intake with insulin administration to avoid complications.
D. Holding insulin can lead to dangerously high blood glucose levels. Clients with Type 1 diabetes require insulin regardless of illness, and it’s crucial to adjust the insulin regimen based on current blood glucose levels and carbohydrate intake.

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Ten minutes after initiating an intravenous antibiotic, the client complains of shortness of breath, itching, and difficulty swallowing. What is the nurse's initial action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with diabetes mellitus about chronic complications associated with the disease. Which information should be included in the teaching?

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

Explanation

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Correct Answer is B

Explanation

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