A patient has been well controlled on an oral liquid medication ...

[abarnes]

A patient has been well controlled on an oral liquid medication for schizophrenia. Today the patient's caregiver reports return to both positive and negative symptoms over the last week. Which nursing assessment questions are indicated? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Have you changed the fluid you are using to mix with the medication?
  2. Have you changed pharmacies?
  3. What was the patient's last fasting blood glucose measurement?
  4. Has the patient started smoking again?
  5. Is the patient drinking more milk than usual?

Question 2

A patient presents with anaphylaxis to the penicillin prescribed for an ear infection. The nurse plans immediate care for the patient based on which goals?
 
  1. Normalization of blood pressure
  2. Reduction of blood volume
  3. Identification of other allergies
  4. Reduction of inflammatory response
  5. Provision of basic life support

[princessflame2016]

Answer to Question 1

1,2,4
Rationale 1: Mixing the liquid medication in cola, tea, or caffeine-containing liquids may change effectiveness.
Rationale 2: The patient should not switch brands of medication.
Rationale 3: Blood glucose management is important but would not cause these symptoms.
Rationale 4: Smoking may decrease effectiveness of some medications.
Rationale 5: Drinking more milk is not an issue with these medications.

Global Rationale: Mixing the liquid medication in cola, tea, or caffeine-containing liquids may change effectiveness. The patient should not switch brands of medication. Smoking may decrease effectiveness of some medications. Blood glucose management is important but would not cause these symptoms. Drinking more milk is not an issue with these medications.

Answer to Question 2

1,4,5
Rationale 1: Restoration of normal blood pressure is a goal of the management of all shock states.
Rationale 2: The goal is to restore normal blood volume.
Rationale 3: It will be necessary to identify presence of other allergies, but this is not the current priority.
Rationale 4: Since this is anaphylactic shock, it is important to prevent or reduce the inflammatory response.
Rationale 5: Provision of basic life support is critical in all types of shock.

Global Rationale: Restoration of normal blood pressure is a goal of the management of all shock states. Since this is anaphylactic shock, it is important to prevent or reduce the inflammatory response. Provision of basic life support is critical in all types of shock. The goal is to restore normal blood volume. It will be necessary to identify presence of other allergies, but this is not the current priority.

[abarnes]

Great answer, keep it coming

[softEldritch]

Thanks for the timely response, appreciate it