Difficulty: Medium
Average Score: 72%
Simulated
A nurse is assisting with the care of a client who is receiving penicillin via intermittent IV bolus. Which of the following should the nurse recognize as a clinical manifestation of anaphylaxis?
Correct answer
D
Rationale
Pruritus (D) is a common early sign of anaphylaxis, an allergic reaction to penicillin.