ATI PN Nursing Care of Children 2020 with NGN II Proctored Exam
A nurse is caring for a child who received an initial dose of antibiotics 20 min ago. Which of the following findings is the priority to report to the provider?
Explanation & Rationale
Choice A reason: A maculopapular rash may be an allergic reaction to the antibiotic. While this should be reported, wheezing is a more urgent concern. Choice B reason: A headache may be a side effect of the antibiotic, but it is not as urgent as wheezing. Choice C reason: Wheezing can indicate a potential serious allergic reaction or anaphylaxis to the antibiotic. This is the priority finding to report to the provider. Choice D reason: An increased pulse may be a side effect of the antibiotic, but it is not as urgent as wheezing.
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