QMAP Adverse Reactions and Side Effects

Question 1

A resident taking an antibiotic develops hives and facial swelling shortly after administration. What should the QMAP do first?

Accepted Answer

Withhold the next dose and notify the supervisor or nurse immediately

Answer

Continue observing for 15 minutes before acting

Answer

Administer an antihistamine from the med cart

Answer

Document the reaction and continue with other residents

Question 2

Which of the following is considered an adverse drug reaction (ADR)?

Accepted Answer

A resident develops a rash after taking a newly prescribed antibiotic

Answer

A resident feels slightly drowsy after taking a sleep aid as expected

Answer

A resident's blood pressure is controlled by their antihypertensive

Answer

A resident experiences mild dry mouth from an antihistamine as listed on the label

Question 3

A resident on a diuretic complains of muscle cramps and weakness. Which electrolyte imbalance should the QMAP suspect and report?

Accepted Answer

Hypokalemia

Answer

Hypernatremia

Answer

Hypercalcemia

Answer

Hypermagnesemia

Question 4

A resident taking an antipsychotic medication develops a high fever, muscle rigidity, and altered consciousness. This is most consistent with which serious adverse reaction?

Accepted Answer

Neuroleptic malignant syndrome

Answer

Tardive dyskinesia

Answer

Orthostatic hypotension

Answer

Extrapyramidal symptoms

Question 5

What is orthostatic hypotension, and why is it important for a QMAP to know about it?

Accepted Answer

A sudden drop in blood pressure when standing, which can cause falls after medication administration

Answer

High blood pressure caused by pain medications, requiring dose reduction

Answer

A chronic condition unrelated to medications

Answer

Elevated blood pressure at rest that resolves with activity

Question 6

Which symptom following medication administration should a QMAP report to the nurse as a potential sign of anaphylaxis?

Accepted Answer

Difficulty breathing and throat tightening

Answer

Mild headache

Answer

Slight drowsiness

Answer

Temporary nausea