Page 1659 - Saunders Comprehensive Review For NCLEX-RN

Content Area: Pharmacology: Respiratory Medications: Restrictive Airway Disease
Agents
Health Problem: N/A
Priority Concepts: Client Education; Safety
Reference: Lilley et al. (2017), pp. 585, 590.

597. Answer: 4

Rationale: Omalizumab is an antiinflammatory and monoclonal antibody used for
long-term control of asthma. Anaphylactic reactions can occur with the
administration of omalizumab. The nurse administering the medication should
monitor for adverse reactions of the medication. Swelling of the lips and tongue are
an indication of an anaphylaxis. The client statements in options 1, 2, and 3 are not
indicative of an adverse reaction.
Test-Taking Strategy: Focus on the subject, a life-threatening effect. Recall that
anaphylactic reactions can occur with the administration of omalizumab. Knowing
the signs of a reaction will direct you to the correct option.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Respiratory Medications: Restrictive Airway Disease
Agents
Health Problem: Adult Health: Respiratory: Asthma
Priority Concepts: Clinical Judgment; Safety
Reference: Skidmore-Roth (2017), pp. 879-880.

598. Answer: 1

Rationale: Antiviral medications for influenza must be taken exactly as
prescribed. These medications do not prevent the spread of influenza, and clients are
usually contagious for up to 2 days after the initiation of antiviral medications.
Secondary bacterial infections may occur despite antiviral treatment. Side effects
occur with these medications and may necessitate a change in activities, especially
when driving or operating machinery if dizziness occurs.
Test-Taking Strategy: Focus on the subject, client instructions for antiviral
therapy, and note the words indicates an understanding. Using general medication
guidelines will direct you to the correct option.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Pharmacology: Immune Medications: Antivirals
Health Problem: Adult Health: Respiratory: Viral, Bacterial, Fungal Infections
Priority Concepts: Client Education; Infection
Reference: Lilley et al. (2017), pp. 658.

599. Answer: 1

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