A nurse is caring for a pediatric client who is receiving an infusion of intravenous antibiotic at the ambulatory clinic. Which clinical manifestation indicates that the client is experiencing a type I hypersensitivity reaction?
A) Erythema
B) Fever
C) Joint pain
D) Hypotension
Answer: D
Clinical manifestations associated with a type I hypersensitivity reaction include hypotension, wheezing, gastrointestinal or uterine spasm, stridor, and urticaria. Erythema and fever are associated with type IV hypersensitivity reactions. Fever and joint pain are associated with a type III hypersensitivity reactions.
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An elderly man who has come to a health promotion clinic offering education related to understanding and filling out advance directives tells the nurse
that he does not want to complete an advance directive because he does not want anyone controlling his finances. The nurse teaches the man that: A) Advance directives are not legal documents, so he has nothing to worry about. B) Advance directives are limited only to health care instructions and directives. C) His finances cannot be managed without an advance directive. D) Advance directives are implemented when you become incapacitated, then you use a living will to allow the state to manage your money.
Which chemotherapy problem, experienced by a patient after the first round of chemotherapy, does the nurse report to the prescriber to reduce the chemotherapy dose or delay the next treat-ment?
a. Productive cough and fever b. Loss of scalp and body hair c. Moderate nausea and vomiting d. Fatigue and increased sleep time
Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?
A) Marijuana B) Alcohol C) Heroin D) Cocaine
Guidelines for preventing antimicrobial resistance include:
Standard Text: Select all that apply. 1. using proper infection-control procedures. 2. shortening the duration of antibiotic administration. 3. using antimicrobials wisely. 4. preventing infections. 5. treating infections properly.