Milestone exam 1 Questions And Answers

Milestone exam 1 Questions And Answers Two hours after taking the first dose of penicillin, a client arrives at the emergency department complaining of feeling ill, exhibiting hives, having difficulty breathing, and experiencing hypotension. The nurse will develop an immediate plan of care based on which finding? A.Severe acute anaphylactic response B.Side reaction that should resolve C.Idiosyncratic reaction D.Cumulative drug response A -Correct Answer-Rationale: Anaphylaxis related to penicillin can cause a life-threatening allergic response characterized by bronchospasm, laryngeal edema, and a precipitous drop in blood pressure. This client's ingestion of penicillin and presenting clinical picture indicate the client is having an acute reaction with respiratory difficulty. Options B, C, and D are other physiologic responses to medications, but immediate action is required for a potential loss of airway, breathing, and circulation. Which response best supports the observations that the nurse identifies in a client who is experiencing a placebo effect? A.Beneficial response or cure for disease B.Behavioral or psychotropic responses C.Malingering or drug-seeking behaviors D.Psychological response to inert medication D -Correct Answer-Rationale:The placebo effect is a response in the client that is caused by the psychological impact of taking an inert drug that has no biochemical properties. A placebo effect can be therapeutic, negative, or ineffective but provides no cure or benefit to the client's progress. The placebo effect may evoke behavioral changes but does not affect neurochemical psychotropic changes. Malingering and drug seeking are behaviors that a client exhibits to obtain treatment for nonexistent disorders or obtain prescription medications. A mother brings her 18-month-old child to the community health center because the child has had "bad diarrhea" for the last 3 days. She states, "I bought some of this liquid at the pharmacy and gave my child a half-ounce." The nurse sees that the bottle contains loperamide. What is the next nursing action? A.Tell the mother never to give this drug to her toddler. B.Ask if any other siblings have experienced diarrhea.