Question 1 of 20
A client who is being treated for cancer developed a serum
sickness reaction. The care team has been notifi ed, and
the client is being stabilized. What is the nurse’s priority
action?
Discontinue the drug immediately as ordered.
Administer topical corticosteroids.
Administer prescribed epinephrine subcutaneously.
Encourage the use of a MedicAlert identification.
Question 2 of 20
The nurse is caring for a client who is receiving an
antidiabetic agent. What assessment fi nding should the
nurse attribute to a possible adverse reaction?
The client reports feeling unusually drowsy and fatigued.
The client states, “I just can’t seem to quench my thirst.”
The client has voided three times in the past hour.
The nurse’s assessment reveals Kussmaul respirations.
Question 3 of 20
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 idiosyncratic response.
a hepatotoxic response.
a paradoxical response.
an allergic response.
Question 4 of 20
A nurse is administering gentamicin, an antibiotic that is
ototoxic. Which report or sign would indicate that the
client is suff ering from ototoxicity?
buzzing or ringing sound in the ears (tinnitus)
, irregularities in cardiac rhythms and conduction
increased incidence of bacterial and viral infections
altered acid-base balance
Question 5 of 20
A client is four months' pregnant. She works in the
chemical unit of a research department and is responsible
for handling various chemicals. Her gynecologist advised
her not to expose herself to chemical or industrial vapors
and specifi c drugs. These restrictions are advised because
exposure to industrial vapors could:
damage the immature nervous system of the fetus.
affect the kidneys of the fetus.
affect the liver of the fetus.
affect the eighth cranial nerve of the fetus.
Question 6 of 20
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 you continue to take it. We can talk about other
methods for sexual expression."
"This is an idiosyncratic response to the medication, not an
expected result. Such responses are genetically predetermined so you
will not be able to take this medication."
"The sexual dysfunction is caused by an allergic reaction to the
medication. We need to stop this drug immediately."
, "This is a toxic reaction to the medication and can cause
permanent damage. We need to take you off this medication
immediately."
Question 7 of 20
An elderly client has been taking a new medication for 2
months. During a follow-up visit, the client's son tells the
nurse that he feels his mother's memory is getting worse.
What concerns should the nurse have at this time?
All elderly clients have dementia at some point in life, and the
medication is making it worse.
The nurse should not be concerned. Medication is not the cause of
the client's confusion.
This may be coincidental, and the memory loss may be attributed
to changes with aging.
The client probably has the onset of Alzheimer disease.
Question 8 of 20
A client comes to the clinic reporting of a ringing sound in
the ears and dizziness. When the nurse takes the client's
history, the nurse discovers that the client has been taking
several ibuprofen every day for various discomforts. What
does the nurse understand has occurred with this client?
anaphylactic reaction to the ibuprofen
immunotoxicity from the ibuprofen
allergic reaction to the ibuprofen
ototoxicity from the ibuprofen
Question 9 of 20
The nurse administers penicillin to a client and monitors
the client for an adverse reaction despite the fact that the
client claimed not to be allergic to penicillin. What is the
rationale for checking for adverse reactions? {Select all
that apply.}
A person can be allergic to any medication at any time.
Medications can react with other medications prescribed for the
client.
A client who is being treated for cancer developed a serum
sickness reaction. The care team has been notifi ed, and
the client is being stabilized. What is the nurse’s priority
action?
Discontinue the drug immediately as ordered.
Administer topical corticosteroids.
Administer prescribed epinephrine subcutaneously.
Encourage the use of a MedicAlert identification.
Question 2 of 20
The nurse is caring for a client who is receiving an
antidiabetic agent. What assessment fi nding should the
nurse attribute to a possible adverse reaction?
The client reports feeling unusually drowsy and fatigued.
The client states, “I just can’t seem to quench my thirst.”
The client has voided three times in the past hour.
The nurse’s assessment reveals Kussmaul respirations.
Question 3 of 20
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 idiosyncratic response.
a hepatotoxic response.
a paradoxical response.
an allergic response.
Question 4 of 20
A nurse is administering gentamicin, an antibiotic that is
ototoxic. Which report or sign would indicate that the
client is suff ering from ototoxicity?
buzzing or ringing sound in the ears (tinnitus)
, irregularities in cardiac rhythms and conduction
increased incidence of bacterial and viral infections
altered acid-base balance
Question 5 of 20
A client is four months' pregnant. She works in the
chemical unit of a research department and is responsible
for handling various chemicals. Her gynecologist advised
her not to expose herself to chemical or industrial vapors
and specifi c drugs. These restrictions are advised because
exposure to industrial vapors could:
damage the immature nervous system of the fetus.
affect the kidneys of the fetus.
affect the liver of the fetus.
affect the eighth cranial nerve of the fetus.
Question 6 of 20
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 you continue to take it. We can talk about other
methods for sexual expression."
"This is an idiosyncratic response to the medication, not an
expected result. Such responses are genetically predetermined so you
will not be able to take this medication."
"The sexual dysfunction is caused by an allergic reaction to the
medication. We need to stop this drug immediately."
, "This is a toxic reaction to the medication and can cause
permanent damage. We need to take you off this medication
immediately."
Question 7 of 20
An elderly client has been taking a new medication for 2
months. During a follow-up visit, the client's son tells the
nurse that he feels his mother's memory is getting worse.
What concerns should the nurse have at this time?
All elderly clients have dementia at some point in life, and the
medication is making it worse.
The nurse should not be concerned. Medication is not the cause of
the client's confusion.
This may be coincidental, and the memory loss may be attributed
to changes with aging.
The client probably has the onset of Alzheimer disease.
Question 8 of 20
A client comes to the clinic reporting of a ringing sound in
the ears and dizziness. When the nurse takes the client's
history, the nurse discovers that the client has been taking
several ibuprofen every day for various discomforts. What
does the nurse understand has occurred with this client?
anaphylactic reaction to the ibuprofen
immunotoxicity from the ibuprofen
allergic reaction to the ibuprofen
ototoxicity from the ibuprofen
Question 9 of 20
The nurse administers penicillin to a client and monitors
the client for an adverse reaction despite the fact that the
client claimed not to be allergic to penicillin. What is the
rationale for checking for adverse reactions? {Select all
that apply.}
A person can be allergic to any medication at any time.
Medications can react with other medications prescribed for the
client.
