ATI RN
ATI RN Fundamentals 2023 II Questions
Extract:
Question 1 of 5
A nurse is assessing a client who received an IM antibiotic injection 15 min ago. Which of the following findings should the nurse identify as an indication of a possible anaphylactic reaction to the medication?
Correct Answer: B
Rationale: The correct answer is B: A sharp decrease in blood pressure. An anaphylactic reaction is a severe allergic reaction that can lead to a sudden drop in blood pressure, known as anaphylactic shock. This is a life-threatening emergency that requires immediate intervention. A sudden decrease in heart rate (
A) is not typically associated with an anaphylactic reaction. A feeling of swelling in the feet (
C) could indicate a localized reaction but is not specific to anaphylaxis. Pain at the injection site (
D) is a common side effect of IM injections but not a sign of anaphylactic reaction.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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