The medical chart of a newly admitted client notes a penicillin ...

[Evvie72]

The medical chart of a newly admitted client notes a penicillin allergy, yet the physician has just written an order for an antibiotic in the same drug family after reviewing the client's wound culture and sensitivity.
 
  How should the nurse respond to this situation?
 
  A) Withhold the medication until the potential drug allergy has been addressed by the care team.
  B) Administer the medication and increase the frequency of assessments in the hours that follow.
  C) Substitute an antibiotic with similar action, but which is from a different drug family.
  D) Discuss the severity, signs and symptoms of the drug allergy with the client in order to ascertain the risks of administration.

Question 2

The nurse is preparing to administer a medication via a nasogastric tube. What guideline is appropriate for the nurse to follow when administering a drug via this route?
 
  A) Flush the tube with water between each drug administered.
  B) Position the client supine prior to administering the drug.
  C) Administer the medication at a cold temperature.
  D) If connected to suction, do not reconnect to suction for five minutes after drug administration.

[ntsoane kedibone]

Answer to Question 1

Ans: A
Client safety is paramount, and the nurse has a responsibility to ensure that a potential threat of harm is identified and dealt with promptly. It is beyond the nurse's scope of practice to independently substitute another drug, and it would be unsafe to administer the drug in light of this revelation. The nurse would not administer the drug even if the client stated that his or her allergy is mild.

Answer to Question 2

Ans: A
Guidelines to consider when administering a drug via nasogastric tube include positioning the client with the head of the bed elevated, administering the medication at room temperature for the client's comfort, flushing the tube with water between each drug administered, and avoiding the use of suction for 20 to 30 minutes after the drug is administered.

[Evvie72]

Excellent

[alvinum]

Gracias!