Level: Foundational
Difficulty: Easy
Subtopic: Antibiotics
NCLEX: A 55-year-old client in postanesthesia care is being evaluated for intravenous antibiotic therapy. Assessment dat…
Pharmacology Pharmacological and Parenteral Therapies
Case Study
A 55-year-old client in postanesthesia care is being evaluated for intravenous antibiotic therapy. Assessment data include the client develops urticaria and wheezing 10 minutes after IV antibiotic administration. Which finding requires the nurse to intervene immediately?
Question
A. The new finding that develops urticaria and wheezing 10 minutes after IV antibiotic administration.
B. A stable, long-standing finding that matches the expected care plan.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
B. A stable, long-standing finding that matches the expected care plan.
C. A comfort request with unchanged vital signs and no new symptoms.
D. Routine data unchanged from the prior assessment.
Rationale
Correct answer: A. The new finding that develops urticaria and wheezing 10 minutes after IV antibiotic administration.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.