The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?
Scratchy throat.
Pupillary constriction.
Hypertension.
Bradycardia.
The Correct Answer is A
A. Scratchy throat: This symptom can indicate an allergic reaction, which can progress rapidly to more severe manifestations such as anaphylaxis. Anaphylaxis is a medical emergency that requires immediate intervention, including stopping the infusion and administering appropriate medications.
B. Pupillary constriction: This is not typically associated with an allergic reaction to medications like piperacillin-tazobactam. It is more commonly related to neurological conditions or the effects of certain drugs, such as opioids.
C. Hypertension: While elevated blood pressure can be concerning, it is not a common immediate reaction to piperacillin-tazobactam infusion. Hypertension could be related to other underlying conditions or stress but is not a primary reason to stop the infusion in this context.
D. Bradycardia: A slow heart rate is not a typical immediate response to an allergic reaction to antibiotics. Bradycardia can be caused by various factors, including medications, heart conditions, or electrolyte imbalances, but it is not directly linked to the infusion of piperacillin-tazobactam
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
The nurse should expect for the insulin lispro to start working at 10-20 minutesand to peak at 1-2 hours.
Rationale: Insulin lispro is a rapid-acting insulin analog, which means it starts working relatively quickly after administration and reaches its peak effectiveness at a specific time. The onset of action for insulin lispro is typically around 10-20 minutes, meaning it begins to lower blood glucose levels within this timeframe. The peak effect occurs around 1-2 hours after administration, during which the insulin has the most potent effect on reducing blood glucose levels.
Correct Answer is A
Explanation
Choice A rationale: Heartburn when lying down after dinner can be a symptom of gastroesophageal reflux disease (GERD), which is a common concern in individuals with heart failure. Antacids are commonly used to relieve heartburn by neutralizing stomach acid. For patients with heart failure, it is essential to use low sodium antacids because excess sodium intake can worsen fluid retention and lead to increased heart failure symptoms. Low sodium antacids are specifically designed to minimize the sodium content, making them a suitable choice for individuals with heart failure.
Choice B rationale: Diphenhydramine is an antihistamine commonly used for allergy relief and as a sleep aid due to its sedative effects. However, it is not an appropriate choice for relieving heartburn. Diphenhydramine does not have any direct effect on stomach acid, and it is not indicated for GERD or heartburn relief.
Choice C rationale: Low dose aspirin is primarily used as an antiplatelet agent to reduce the risk of blood clots and is commonly prescribed for patients with certain cardiovascular conditions. However, it is not a suitable medication for relieving heartburn. In fact, aspirin can irritate the stomach lining and worsen symptoms of heartburn and gastric irritation.
Choice D rationale: Acetaminophen is a common over-the-counter pain reliever and fever reducer. While it is useful for managing pain and fever, it does not have any effect on stomach acid and is not indicated for heartburn relief. Acetaminophen is not an appropriate choice for addressing heartburn symptoms.
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