A client having severe allergy symptoms has received several doses of IV antihistamines. What action by the nurse is most important?
a. Assess the client's bedside glucose reading.
b. Instruct the client not to get up without help.
c. Monitor the client frequently for tachycardia. d.
Record the client's intake, output, and weight.
ANS: B
Antihistamines can cause drowsiness, so for the client's safety, he or she should be instructed to call for assistance prior to trying to get up. Hyperglycemia and tachycardia are side effects of sympathomimetics. Fluid and sodium retention are side effects of corticosteroids.
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Fill in the blank(s) with correct word