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Document that the client experienced an anaphylactic reaction to the medication: Flushing of the neck and tachycardia occur with "Red Man Syndrome," which is not an allergic reaction. Anaphylaxis typically involves more severe symptoms such as difficulty breathing, swelling, and hypotension.

Change the IV infusion site: Changing the IV site is not the correct approach for this situation. The symptoms are related to the rate of infusion, not the site of the IV. The key intervention is to manage the infusion rate.

Apply cold compresses to the neck area: While cold compresses may help with localized discomfort, the primary action should be to decrease the infusion rate to prevent further symptoms.

Colloid solution: Colloid solutions, such as albumin, contain large molecules that help expand blood volume and are typically used for volume replacement in cases of hypovolemia or shock, not dehydration alone.

Hypotonic solution: Hypotonic solutions, like 0.45% saline, would cause water to move into cells and could exacerbate dehydration by causing cells to swell. They are not typically used in the initial treatment of dehydration.

Hypertonic solution: Hypertonic solutions, like 3% saline, contain higher concentrations of solutes and would draw water out of cells, which could worsen dehydration. They are used in conditions like severe hyponatremia, not general dehydration.

Prolonged PR interval: A prolonged PR interval can indicate an atrioventricular (AV) block, but it is not a common finding in a myocardial infarction (MI). MI is more typically associated with changes in the ST segment, T waves, or the development of Q waves.

Absent P waves: Absent P waves can be seen in atrial fibrillation or other arrhythmias but are not a primary finding in a myocardial infarction.

Peaked T waves: Peaked T waves are associated with hyperkalemia (high potassium levels) rather than myocardial infarction. In an MI, T wave inversions or flattening may occur, not typically peaked T waves.

Intrinsic asthma: Intrinsic asthma is asthma that is triggered by factors like respiratory infections, cold air, or stress. While it may cause severe symptoms, it is not specifically characterized by a prolonged, life-threatening asthma attack.

Extrinsic asthma: This type of asthma is triggered by allergens, such as pollen, dust, or pet dander. It is also known as allergic asthma, but it is not typically a life-threatening, prolonged attack.

Nocturnal asthma: Nocturnal asthma refers to asthma symptoms that worsen at night, but it is not necessarily a life-threatening condition. It can be managed with appropriate treatment, unlike status asthmaticus, which requires urgent intervention.

Olfactory changes: Olfactory changes, such as alterations in the sense of smell, are not commonly seen with metronidazole. While some medications may affect the sense of smell, this is not a typical side effect of metronidazole.

Alterations in touch: Alterations in the sense of touch are not linked to metronidazole. While neurological side effects may occur with some medications, changes in tactile sensation are not common for metronidazole use.

Hearing loss: Hearing loss is not a known adverse effect of metronidazole. Certain antibiotics, like aminoglycosides, are more likely to cause ototoxicity, but hearing loss is not commonly associated with metronidazole use.

The client wears fitted slippers: Fitted slippers offer better foot grip and reduce the chances of tripping over loose material. They are generally considered a safety measure in older adults and are unlikely to contribute to falls.

The client uses a raised toilet seat: A raised toilet seat decreases the need for bending and strain during toileting. It supports safer transfers and reduces the risk of instability or falling when sitting down or standing up.

The client has a nonslip bath mat in his shower: A nonslip bath mat enhances safety by reducing the risk of slipping on wet surfaces. Its use is a preventative measure rather than a risk factor for falling.

Dry oral mucous membranes: Dry mouth can occur with inhaled medications but is typically a mild and manageable side effect. It does not require immediate provider notification unless it becomes severe or leads to difficulty swallowing or speaking.

Sedation: Fluticasone/salmeterol does not commonly cause sedation, as neither the corticosteroid nor the long-acting beta-agonist typically affects the central nervous system in this way. Sedation would suggest another underlying cause.

Increased appetite: This effect is more often associated with systemic corticosteroids than with inhaled forms. Inhaled fluticasone has minimal systemic absorption, so significant appetite changes are unlikely.

"A headache is an indication of an allergy to the medication”: An allergic reaction involves signs like rash, itching, swelling, or difficulty breathing. A headache alone is not indicative of an allergic response and does not suggest hypersensitivity to nitroglycerin.

"A headache is likely due to the anxiety about the chest pain.” While anxiety can trigger headaches, the timing and known pharmacologic effect of nitroglycerin point to a more direct cause.

"A headache indicates tolerance to the medication”: Tolerance usually refers to a reduced therapeutic effect over time, not the presence of side effects like headache. In fact, headaches often occur early in therapy before tolerance develops.

The client has become addicted to the medication: Addiction involves compulsive use despite harm, craving, and loss of control. In a hospice setting where pain management is the priority, increased dosing for pain relief is not indicative of addiction.

The client is experiencing episodes of confusion: Confusion may be a side effect of opioids but is not related to the need for a higher dose to relieve pain. The scenario specifically relates to effectiveness, not cognitive changes.

The client not been taking the medication properly: Non-adherence could explain poor pain control, but the client specifically reports an increase in dosage that led to relief, implying appropriate use rather than misuse.

Administer the medicine with food: Gentamicin is usually given parenterally, not orally, so food administration is not typically relevant. Even if given orally, food does not significantly impact absorption or reduce toxicity risk.

Limit the client's fluid intake: Gentamicin is nephrotoxic, so adequate hydration is actually important to protect kidney function. Limiting fluids may increase the risk of renal damage, which is the opposite of the desired action.

Instruct the client to report agitation: Agitation is not a common or specific adverse effect of gentamicin. The more critical symptoms to watch for include tinnitus, hearing loss, or decreased urine output, all signs of toxicity.