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

Author Question: A patient who was unable to provide a medication history was admitted to the unit. The patient is ... (Read 31 times)

c0205847

  • Hero Member
  • *****
  • Posts: 531
on: Jul 23, 2018
A patient who was unable to provide a medication history was admitted to the unit. The patient is receiving penicillin for treatment of an infection. The patient begins to wheeze.
 
  Upon assessing the patient, the nurse finds an edematous airway, bronchoconstriction, and a blood pressure of 88/47. The nurse's priority action should be to
  a. obtain suction and an oropharyngeal airway device.
  b. administer epinephrine (adrenalin).
  c. check the oxygen saturation and apply oxygen.
  d. administer IV fluids to increase the blood pressure.

Question 2

A nurse transcribes a new prescription for potassium penicillin G given intravenously (IV) q 8 h and gentamicin IV q 12 h. Which plan is the best schedule for administering these drugs?
 
  a. Give the penicillin at 0800, 1600, and 2400; give the gentamicin (Garamycin) at 1800 and 0600.
  b. Give the penicillin at 0800, 1600, and 2400; give the gentamicin (Garamycin) at 1200 and 2400.
  c. Give the penicillin at 0600, 1400, and 2200; give the gentamicin (Garamycin) at 0600 and 1800.
  d. Give the penicillin every 8 hours; give the gentamicin (Garamycin) simultaneously with two of the penicillin doses.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Christopher

  • Sr. Member
  • ****
  • Posts: 316
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
The priority is to reverse the allergic reaction. This can be done by administering epinephrine, which is used to treat anaphylaxis (which the patient is manifesting).
Nothing indicates a need for suction.
Checking the oxygen saturation is a waste of time.
IV fluids may be a consideration if the blood pressure does not rise after administration of epinephrine, but epinephrine is the priority.

Answer to Question 2

ANS: A
Gentamicin should never be administered concurrently with penicillin, because they will interact, and the penicillin may inactivate the aminoglycoside.
All these options show concurrent administration.


c0205847

  • Member
  • Posts: 531
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

  • Member
  • Posts:
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

There are 60,000 miles of blood vessels in every adult human.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

The lipid bilayer is made of phospholipids. They are arranged in a double layer because one of their ends is attracted to water while the other is repelled by water.

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi
Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r
Digital recording devices can be helpful when providing patient education to visually impaired ... Digital recording devices can be helpful when providing patient education to visually impaired ...
A medical assistant helps a patient walk with a gait belt. A medical assistant helps a patient walk with a gait belt.
A Chrysler electronic ignition distributor. This unit is equipped with a vacuum advance mechanism ... A Chrysler electronic ignition distributor. This unit is equipped with a vacuum advance mechanism ...
form unit form unit
Video: Factors that increase metabolic rate and heat production

For a complete list of videos, visit our video library