This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient has been receiving intravenous penicillin for pneumonia for several days and begins to ... (Read 94 times)

future617RT

  • Hero Member
  • *****
  • Posts: 543
on: Jul 23, 2018
A patient has been receiving intravenous penicillin for pneumonia for several days and begins to complain of generalized itching. The nurse auscultates bilateral wheezing and notes a temperature of 38.5 C (101 F).
 
  Which is the correct action by the nurse?
  a. Administer the next dose and continue to evaluate the patient's symptoms.
  b. Ask the prescriber if an antihistamine can be given to relieve the itching.
  c. Contact the prescriber to request an order for a chest radiograph.
  d. Hold the next dose and notify the prescriber of the symptoms.

Question 2

A nurse consults a drug manual before giving a medication to an 80-year-old patient. The manual states that elderly patients are at increased risk for hepatic side effects. Which action by the nurse is correct?
 
  a. Contact the provider to discuss an order for pretreatment laboratory work.
  b. Ensure that the drug is given in the correct dose at the correct time to minimize the risk of adverse effects.
  c. Notify the provider that this drug is contraindicated for this patient.
  d. Request an order to give the medication intravenously so that the drug does not pass through the liver.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

gstein359

  • Sr. Member
  • ****
  • Posts: 293
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
Pruritus and wheezing are signs of a possible allergic reaction, which can be fatal; therefore, the medication should not be given and the prescriber should be notified. When patients are having a potentially serious reaction to a medication, the nurse should not continue giving the medication. Antihistamines may help the symptoms of an allergic reaction, but the first priority is to stop the medication. Obtaining a chest radiograph is not helpful.

Answer to Question 2

ANS: A
The drug manual indicates that this drug should be given with caution to elderly patients. Getting information about liver function before giving the drug establishes baseline data that can be compared with post-treatment data to determine whether the drug is affecting the liver. Giving the correct dose at the correct interval helps to minimize risk, but without baseline information, the effects cannot be determined. The drug is not contraindicated.


future617RT

  • Hero Member
  • *****
  • Posts: 543
Reply #2 on: Jul 23, 2018
TY


gstein359

  • Sr. Member
  • ****
  • Posts: 293
Reply #3 on: Jul 23, 2018
You're welcome


« previous next »
 

Did you know?

Despite claims by manufacturers, the supplement known as Ginkgo biloba was shown in a study of more than 3,000 participants to be ineffective in reducing development of dementia and Alzheimer’s disease in older people.

Did you know?

It is believed that humans initially contracted crabs from gorillas about 3 million years ago from either sleeping in gorilla nests or eating the apes.

Did you know?

The most destructive flu epidemic of all times in recorded history occurred in 1918, with approximately 20 million deaths worldwide.

Did you know?

In most cases, kidneys can recover from almost complete loss of function, such as in acute kidney (renal) failure.

Did you know?

Less than one of every three adults with high LDL cholesterol has the condition under control. Only 48.1% with the condition are being treated for it.

Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink
Each patient is greeted by the receptionist. Each patient is greeted by the receptionist.
Medical assistants can quickly pull up a patient record when a phone call is received. Medical assistants can quickly pull up a patient record when a phone call is received.
Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious
Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum. Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum.
Video: Cardiac Cycle (Part 3 of 4)

For a complete list of videos, visit our video library