Author Question: The nurse is instructing a pregnant patient about how to manage reflux. Which point about histamine ... (Read 36 times)

neverstopbelieb · **on:** Jul 23, 2018

The nurse is instructing a pregnant patient about how to manage reflux. Which point about histamine H2 blockers does the nurse include in the teaching plan?

a. They are safe for use during pregnancy.
b. They may be used while breastfeeding.
c. They should only be taken with a prescriber's approval.
d. They can be prescribed instead of lifestyle changes to control reflux.

Question 2

A patient received a tuberculosis skin test injection of purified protein derivative (PPD) 72 hours ago. Which assessment finding of the test site does the nurse interpret as a positive reaction?

a. The injected area has a blister-like swelling about 2 mm high and 2 mm in di-ameter.
b. The injection site is puffy and soft with pus oozing from the needle hole.
c. The skin is red and very hard for 12 mm around the injection site.
d. There is a large bruise surrounding the injection site.

lkoler · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
The use of histamine H2 blockers has not been studied in pregnant women and safe use has not been established. These drugs pass into breast milk so should be avoided while breastfeeding. During pregnancy, lifestyle changes (e.g., eating more slowly, eating smaller meals) should be tried first to control reflux. Pregnant women must consult with their prescriber before taking any drug for reflux.

Answer to Question 2

C
A positive reaction to a TB skin test requires that the skin around the injection site be indurated, not just red. Induration is caused by infiltration of the skin around the test site with many white blood cells, making the area red and swollen, and the tissue much harder than the surrounding normal skin. Bruising is a result of bleeding into the injection site, not infiltration and induration from white blood cells.