This topic contains a solution. Click here to go to the answer

Author Question: Prior to the administration of penicillin, a nurse reviews medication literature regarding ... (Read 76 times)

tiffannnnyyyyyy

  • Hero Member
  • *****
  • Posts: 512
Prior to the administration of penicillin, a nurse reviews medication literature regarding precautions associated with penicillin. For which patient would the nurse most likely consider these precautions warranted?
 
  a. A patient who has a history of anaphylaxis from promethazine (Phenergan)
  b. A patient who has a history of bronchitis and asthma
  c. A patient who reports an allergy to sulfa-based agents
  d. A patient who reports a history of a mild rash from penicillin taken 7 years ago

Question 2

The nurse is preparing to administer medications to a patient admitted with a left total knee replacement (TKR). As part of the preadministration assessment, the nurse would first
 
  a. administer the medications with a full cup of water.
  b. check the patient's arm band for allergies.
  c. monitor the patient for toxicity.
  d. perform a physical assessment.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

nmyers

  • Sr. Member
  • ****
  • Posts: 336
Answer to Question 1

ANS: D
Even a minor allergy to penicillin warrants precautions during administration, because a more severe allergic reaction may occur.
Promethazine is not related to penicillin, therefore no precautions are necessary.
A history of bronchitis and asthma would not be prohibiting factors preventing the use penicillin.
A patient who has a known allergy to sulfa-based drugs does not have a cross-sensitivity to penicillin drugs, therefore no precautions are necessary.

Answer to Question 2

ANS: B
Checking the patient's arm band before administration verifies allergies and is the only option, provided it is done before administration of medications.
A full cup of water is not relevant, because many patients take their meds with a sip of water, and this is not a preadministration assessment.
Monitoring the patient for toxicity would be an evaluation rather than a preassessment.
A physical assessment is not necessary unless the patient's status changes, such as an inability to swallow.




tiffannnnyyyyyy

  • Member
  • Posts: 512
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review


sultansheikh

  • Member
  • Posts: 335
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

Did you know?

Liver spots have nothing whatsoever to do with the liver. They are a type of freckles commonly seen in older adults who have been out in the sun without sufficient sunscreen.

Did you know?

The senior population grows every year. Seniors older than 65 years of age now comprise more than 13% of the total population. However, women outlive men. In the 85-and-over age group, there are only 45 men to every 100 women.

Did you know?

Over time, chronic hepatitis B virus and hepatitis C virus infections can progress to advanced liver disease, liver failure, and hepatocellular carcinoma. Unlike other forms, more than 80% of hepatitis C infections become chronic and lead to liver disease. When combined with hepatitis B, hepatitis C now accounts for 75% percent of all cases of liver disease around the world. Liver failure caused by hepatitis C is now leading cause of liver transplants in the United States.

For a complete list of videos, visit our video library