A nurse is caring for a client who may be experiencing an ...

[joesmith1212]

A nurse is caring for a client who may be experiencing an allergic response to medication. The nurse bases the assessment on which information?
 
  1. Signs and symptoms of drug allergy range from minor to life threatening.
  2. Drug allergy symptoms may appear the same as common allergies to other substances, such as environmental triggers.
  3. It is important to determine the source of the allergy.
  4. Nausea and vomiting are the most common drug allergy symptoms.
  5. Drug allergies require previous exposure.

Question 2

The nurse is caring for a client who is taking a drug known to cause nephrotoxicity. Which interventions are appropriate to prevent drug-induced nephrotoxicity?
 
  1. Encouraging hydration
  2. Monitoring diagnostic lab tests for changes in kidney function
  3. Identifying drugs that affect kidneys and discuss adjusting doses
  4. Determining whether the client has kidney impairment
  5. Providing proper nutrition

[pangili4]

Answer to Question 1

Correct Answer: 1,2,3,5
Rationale 1: Symptoms of drug allergies may range from skin rash to difficulty breathing.
Rationale 2: The symptoms of drug allergies may appear the same as common allergic triggers.
Rationale 3: It is important to determine the source of the allergic response in an effort to avoid it in the future.
Rationale 4: Nausea and vomiting are not caused by an overactive immune system and are therefore not truly allergic responses.
Rationale 5: Previous exposure to the allergic drug is required for a hyperimmune response.
Global Rationale: Symptoms of drug allergies may range from skin rash to difficulty breathing. The symptoms of drug allergies may appear the same as common allergic triggers. It is important to determine the source of the allergic response in an effort to avoid it in the future. Previous exposure to the allergic drug is required for a hyperimmune response. Nausea and vomiting are not caused by an overactive immune system and are therefore not truly allergic responses.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Encouraging proper hydration will help to protect the kidneys by improving excretion of drugs.
Rationale 2: It is important to monitor lab tests for any indication that a nephrotoxic drug is having an adverse effect on the kidneys.
Rationale 3: It is important to recognize drugs that affect the kidneys, monitor lab values, and adjust doses if needed.
Rationale 4: Identifying present kidney impairment will allow the provider to adjust any nephrotoxic drug doses, which will minimize the strain on the kidney.
Rationale 5: Providing proper nutrition will not prevent drug-induced kidney problems.
Global Rationale: Providing proper nutrition will not prevent drug-induced kidney problems. Encouraging proper hydration will help to protect the kidneys by improving excretion of drugs. It is important to monitor lab tests for any indication that a nephrotoxic drug is having an adverse effect on the kidneys. It is important to recognize drugs that affect the kidneys, monitor lab values, and adjust doses if needed. Identifying present kidney impairment will allow the provider to adjust any nephrotoxic drug doses, which will minimize the strain on the kidney.

[joesmith1212]

Thank you!

[pangili4]

Always glad to help...