Ch. 3 PrepU

The nurse is assessing a client who is being admitted to the healthcare facility. When asked about allergies, the client states, "I'm allergic to penicillin." What is the nurse's best initial response?

"Do you remember what happened the last time you received penicillin?"

A client taking a beta blocker for hypertension tells the nurse he will no longer take the medication because it is causing an inability for him to maintain an erection. What is the best explanation for this issue by the nurse?

"This is an expected adverse effect of the medication, but it is very important that youcontinue to take it. We can talk about other methods for sexual expression."

A nurse is alert for any adverse effects of a medication on a client. This alertness in assessment is essential in providing for:

Client safety

What changes due to aging in the geriatric client may affect excretion and promote accumulation of drugs in the body?

Decreased glomerular filtration rate

When assessing a client who has developed an anaphylacic reaction, What would the nurse expect to find?

Difficulty breathing

The nurse is caring for a client in the intensive care unit. This client took an overdose of acetaminophen 3 days previously and now has jaundice. Labratory results show elevated liver enzymes. The nurse recognizes that the client may be experiencing what condition related to the overdose?

Hepatotoxicity

A nurse is instructing a client concerning a newly prescribed drug. What should be included to help improve client compliance and safety?

Measures to alleviate any discomfort associated with adverse effects

A client is receiving an antineoplastic medication for treatment of breast cancer and begins having tonic-clonic seizure activity. What type of toxicity does the nurse recognize that this client is experiencing?

Neurotoxicity

A client in the ambulatory care clinic is experiencing shortness of breath and facial and throat edema while receiving a pegloticase infusion. What is the nurse's best action?

Notify emergency personnel

A client is on antibiotic therapy for an axillary abscess. The client has been outside working in the yard and observes a rash everywhere that is not covered by clothing. What should the client be told about this finding?

The client is having photosensitivity and this can occur even with brief exposure to the sun or UV rays

An older adult client has an elevated serum creatinine level. This client is at greatest risk for which medication-related effect?

Toxicity

A parent brings a child to the clinic for an earache. The child receives a prescription for amoxicillin. The parent calls the clinic the next day and says the child has been taking the medicine and how has a rash. The nurse should give the parent instructions about which type of response?

Allergic response

A client is being seen in the emergency department for a sprained ankle and is given a drug to relieve pain. When a second dose of the pain medication is given, the client develops redness of the skin, itching, and swelling at the site of injection of the drug. The most likely cause of this response is:

An allergic response

The nurse is called to a client's room 15 minutes after the client has received a new medication. The client reports pruritus as well as nausea. The nurse notes that the client appears pale, is sweating, and has begun to cough and wheeze. The nurse determines that the client is experiencing what type of reaction related to the new medication?

Anaphylatic shock

The nurse is assessing a new client who states being allergic to nonsteroidal anti-inflammatories (NSAIDs). What subsequent assessment should the nurse prioritize?

Asking the client what the client's response is to taking NSAIDs

A client develops a cytotoxic reaction to a drug. What would the nurse expect to do?

Discontinue the drug immediately as ordered

A client with a diagnosis of bipolar disorder has begun lithium therapy. What is the primary rationale for the nurse's instructions regarding the need for regular monitoring of the client's serum drug levels?

It is necessary to ensure that the client's drug levels are therapeutic but not toxic

The nurse is reviewing the laboratory test results of a client receiving drug therapy. What would the nurse suspect if the results reveal an elevation in the blood urea nitrogen level and creatinine concentration?

Renal injury

The nurse is assessing a client who may be experiencing an anaphylactic reaction. What assessment finding is most consistent with this diagnosis?

Shortness of breath

The nurse is caring for a client who has been taking a potassium-sparing diuretic. What assessment finding would suggest an adverse reaction?

heart rate of 47 beats/min