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A nurse is collecting data from a client who received ampicillin IM. The client reports a rash and tells the nurse "I feel bumps in my mouth." Which of the following findings indicates the client is experiencing an allergic reaction. correct answers Ringing of the ears A nurse is preparing to administer 17,000 units hearing SQ. Available is heparin 20,000 u/mL. How many mL should the nurse administer? correct answers 0.17 mL SQ A nurse is collecting data data from a parent of a toddler prior to administering several immunizations. The parent tells the nurse that the toddler had swelling, redness, and pain at the injection site the last time she received immunization and thinks she might be allergic to the vaccine. Which of the following is the appropriate response? correct answers A reaction at the injection site is common and does not mean that she cannot receive her immunization. A nurse is caring for a client who is receiving and oral solution of codeine to suppress a non-productive cough. Which of the following is the nurses data collection priority following the administration of the medication. correct answers Respiratory rate A nurse in a clinic relieves a telephone call from a client who had TB and was prescribed rifampin 3 days ago. The client reports "my saliva and tears are red. What should I do?" Which if the following responses by the nurse is appropriate? correct answers This is an expected adverse effect of the medication A nurse is reinforcing teaching with a client who has multiple sclerosis I and a new prescription for dantrolene. Which of the following statements indicates that the client understands the instructions? correct answers I know that I'll have to get blood tests to make sure that my liver is okay. A nurse is caring for a client who has bipolar disorder and is receiving lithium carbonate. The nurse should plan to monitor which of the following laboratory values? correct answers BUN A nurse is caring for a client who is immunosuppressive. The nurse should identify that which of the following immunization is contradicted for this client? correct answers Varicella A nurse is assisting with the care of a group of clients. For which of the following client situations should the nurse complete an incident report? correct answers A client receiving packed RBC's through snd 18g IV catheter A nurse in a long-term care facility in collecting data from a client who has new prescription for glyburide? The client reports feeling anxious and having profuse sweating. Which of the following findings should the nurse expect? correct answers Decrease blood glucose level A nurse is collecting data from a client who has schizophrenia and takes chlorpromazine. The nurse should monitor the client for which of the following findings as an adverse effect of this medication. correct answers Tardive dyskinesia (adverse reaction) Nurse is caring for a client who has a history of an anaphylactic reaction to oxacillin. The provider prescribed amoxicillin/clavulanic acid for a client. Which of the following actions should the nurse take? correct answers Equestrian a prescription for a different antibiotic