Answer to Question 1
B
Patients who develop urticaria (hives) and pruritus are at risk for anaphylaxis, which would be indicated by bronchoconstriction and wheezing. Note: As a test strategy, when answering a priority question, make sure you go through the ABCs, then other physiological priorities, then safety and security priorities, then love and belonging priorities. This is clearly an ABC priority.
Never leave the patient, because the allergic reaction may precipitate anaphylaxis, and you would need to assess for changes in respiratory status.
Simply documenting the findings ignores the patient risk for anaphylaxis.
Epinephrine should be administered only in the event of anaphylaxis.
Answer to Question 2
B
Drugs in the phenothiazine class, such as chlorpromazine, can sensitize the skin to ultraviolet light and increase the risk of severe sunburn. Patients should be instructed to avoid excessive exposure to sunlight, to apply sunscreen, and to wear protective clothing when outside.
Chlorpromazine has no effect on a patient's ability to drive a car.
Antipsychotic agents, such as chlorpromazine, can actually impair the libido, orgasm, and ejacu-lation.
Orthostatic hypotension, not hypertension, is a side effect of antipsychotics such as chlorproma-zine.
The patient interview often requires note taking.
The nurse needs to note the source of the patient health history
Lumbar puncture. Abbreviated LP, the lumbar puncture is a common procedure that withdraws cerebrospi
Patient with rheumatoid arthritis
A therapist assisting an amputee patient to regain mobility and strength after amputation.
Toxoplasma gondii in the heart of an HIV patient.