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.

Answer and Explanation

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

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Correct Answer is B

Explanation

Choice A rationale: Serum ammonia levels are not relevant to the effectiveness of sodium polystyrene sulfonate in treating hyperkalemia.

Choice B rationale: Sodium polystyrene sulfonate is a medication used to treat hyperkalemia (high potassium levels). A serum potassium level of 3.8 mEq/L falls within the normal reference range (3.5 to 5.0 mEq/L), indicating that the medication has been effective in promoting the excretion of potassium and reducing hyperkalemia.

Choice C rationale: Serum glucose levels are not relevant to the effectiveness of sodium polystyrene sulfonate in treating hyperkalemia.

Choice D rationale: Hemoglobin levels are not relevant to the effectiveness of sodium polystyrene sulfonate in treating hyperkalemia.

A. The insulin vial for color and clarity B. The history and physical with the diabetes diagnosis listed C The dose of insulin drawn up in the syringe C. The sliding scale insulin lispro order E The expiration date on the insulin vial D. The site for the insulin administration G The insulin concentration H The type of insulin to be administered F. The site for the insulin administration G. The insulin concentration H. The type of insulin to be administered

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

Explanation

Choice A rationale: This is essential to ensure that the insulin is not discolored or cloudy, as these changes could indicate a problem with the insulin's stability or effectiveness.
Choice B rationale: While it is essential to have a complete history and physical for proper patient care, double-checking this with another nurse is not necessary in the immediate administration of insulin lispro.
Choice C rationale: Double-checking the dose of insulin in the syringe is crucial to avoid medication errors and ensure that the correct amount is being administered to the patient.
Choice D rationale: The sliding scale order is not mentioned in the information provided, and since it is not part of the immediate insulin administration, it does not need to be double-checked in this context.
Choice E rationale: Checking the expiration date is necessary to ensure that the insulin is still within its usable period. Using expired insulin can lead to reduced potency and potentially ineffective blood sugar control.
Choice F rationale: The information provided in the nurse's notes does not indicate that insulin administration is due at a specific site (e.g., subcutaneous injection). Therefore, there is no need for a second nurse to double-check the site at this moment. However, it's important for the administering nurse to choose the appropriate site following the facility's guidelines and rotate injection sites to prevent lipodystrophy.

Choice G rationale: Different types of insulin come in different concentrations (e.g., U-100, U-200). It's important to confirm that the correct concentration is being used to ensure accurate dosing.
Choice H rationale: The nurse should verify that the insulin to be administered is indeed insulin lispro, as indicated in the medication order. Administering the wrong type of insulin can have significant implications for the patient's blood sugar control.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Find information about a client below. Exhibits What should the nurse double-check with a second nurse? Select all that apply.

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

Explanation

The nurse is providing instructions about a client's new medications. How should the nurse explain the purpose of probenecid, a uricosuric drug?

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