Author Question: A client with a documented allergy to penicillin is prescribed cephalosporin. The nurse will monitor ... (Read 26 times)

LaDunn · **on:** Jul 23, 2018

A client with a documented allergy to penicillin is prescribed cephalosporin. The nurse will monitor the client for allergic responses, since cephalosporin can cause which reaction?

1. A heightened drug reaction
2. Pseudoallergy
3. Cross-allergy
4. A hyporesponsive reaction

Question 2

The nurse administers zolpidem (Ambien) to a client at 11 p.m. for sleep. The client awakens at 3 a.m. and is wide awake and agitated. How will the nurse document this client's reaction to the medication in the medical record?

1. Allergic response
2. Side effect
3. Adverse effect
4. Idiosyncratic reaction

Amiracle · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: The degree of drug response will not be affected by the cross-allergy.
Rationale 2: The allergy is not false, or pseudo.
Rationale 3: Drugs with similar structure can elicit an allergic response in a receptive client, which is called cross-allergy.
Rationale 4: An allergic response is a hyper-responsive reaction.
Global Rationale: Drugs with similar structure can elicit an allergic response in a receptive client, which is called cross-allergy. The degree of drug response will not be affected by the cross-allergy. The allergy is not false, or pseudo. An allergic response is a hyper-responsive reaction.

Answer to Question 2

Correct Answer: 4
Rationale 1: Allergic responses are usually manifested by rashes, urticaria, or anaphylactic reactions.
Rationale 2: Side effects for Ambien would include nausea, diarrhea, dizziness, daytime drowsiness, and abnormal thinking.
Rationale 3: Adverse effects for Ambien would include hallucinations and hypersensitivity reactions.
Rationale 4: The desired response of Ambien is sleep induction. An opposite or unexpected reaction would be an idiosyncratic reaction.
Global Rationale: The desired response of Ambien is sleep induction. An opposite or unexpected reaction would be an idiosyncratic reaction. Allergic responses are usually manifested by rashes, urticaria, or anaphylactic reactions. Side effects for Ambien would include nausea, diarrhea, dizziness, daytime drowsiness, and abnormal thinking. Adverse effects for Ambien would include hallucinations and hypersensitivity reactions.