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Author Question: The nurse administers a medication to a patient. Shortly afterward, the patient develops an itchy ... (Read 38 times)

londonang

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on: Jul 23, 2018
The nurse administers a medication to a patient. Shortly afterward, the patient develops an itchy rash all of his body and reports feeling very unwell. What is the priority action of the nurse?
 
  a. Leave the patient to notify the physician and the pharmacist.
  b. Determine if the patient is having any difficulty breathing.
  c. Document the reaction in the patient's chart.
  d. Obtain an order for hydrocortisone cream to relieve the itching.

Question 2

The nurse is caring for a patient who is in agonizing pain. All of the following options are listed on the patient's medication order sheet to relive pain. Which will provide the most rapid pain relief for the patient?
 
  a. Morphine 10 mg PO
  b. Dilaudid 1 mg IV push
  c. Demerol 75 mg IM
  d. Duragesic 50 mcg transdermal patch


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Chocorrol77

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
The nurse must first determine if the patient is having any difficulty breathing, since the patient may be starting to have an anaphylactic reaction to the medication. Anaphylaxis is life threatening and requires immediate treatment; the nurse must recognize this potential and plan to initiate emergency interventions right away.

Answer to Question 2

ANS: B
IV administration has the most rapid onset of action and will provide the patient with the quickest pain relief.


londonang

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Chocorrol77

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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Stevens-Johnson syndrome and Toxic Epidermal Necrolysis syndrome are life-threatening reactions that can result in death. Complications include permanent blindness, dry-eye syndrome, lung damage, photophobia, asthma, chronic obstructive pulmonary disease, permanent loss of nail beds, scarring of mucous membranes, arthritis, and chronic fatigue syndrome. Many patients' pores scar shut, causing them to retain heat.

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