NCLEX-PN

Category - Pharmacological Therapies

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A client who has been receiving intermittent IV infusions of penicillin for the past 3 days has suddenly developed a rash in the chest area. Difficulty breathing is not reported. What should the nurse do initially?

Report to the physician immediately
Inform the RN about the findings
Apply antihistamine cream on the affected area
Stop the current IV infusion of penicillin and assess further

Explanation

Answer: D - The findings may indicate allergic sensitivity to the drug. The nurse should first stop the IV infusion and establish the safety of the client before reporting to the physician.

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