Answer to Question 1
Ans: A
Feedback:
Patients with a history of an allergy to penicillin may also be allergic to cephalosporin, so the nurse needs to inform the primary health care provider before the first dose of the drug is given. An antipyretic drug is administered when there is an increase in the body temperature of a patient receiving cephalosporin. Liver and kidney function tests may be ordered by the primary health care provider, not the nurse. Occupational history should be obtained before administration of any drug, irrespective of the patient's allergies.
Answer to Question 2
Ans: B
Feedback:
An elderly patient is more susceptible to the nephrotoxic effects of the cephalosporins. Since renal impairment is present, it is important for the nurse to closely monitor the patient's blood creatinine levels. The nurse should conduct a test for occult blood if blood and mucus occur in the stool and monitor the fluid intake if there is a decrease in urine output. The nurse does not need to monitor for increased glucose levels unless the patient has a history of diabetes.
The nurse conducts the health history as the first step in the nursing assessment
Coronary artery bypass graft (CABG). The grafts are often obtained from the patient’s saphenous vein
Teaching patient discharge instructions
Providing patient education
Jaundice seen in the eyes and the skin of a patient with hepatitis A.