Before administering the first dose to the client, which ...

[audragclark]

Before administering the first dose to the client, which assessment should the nurse perform as part of the preadministration assessment?
 
  A) Review of renal and hepatic function tests
  B) Inspection of patient's stools
  C) Evaluation of patient's lifestyle and diet
  D) General history of patient's health

Question 2

A patient who has been on penicillin therapy for several days has developed inflamed oral mucous membranes and swelling in the tongue and the gums.
 
  The primary health care provider has diagnosed it as a fungal superinfection of the oral cavity resulting in impaired oral mucous membranes. Which of the following interventions should the nurse perform?
 
  A) Inspect mouth and gums regularly.
  B) Instruct patient to avoid brushing teeth.
  C) Offer patient a liquid diet.
  D) Instruct the patient to gargle every 2 hours.

[ciecieme]

Answer to Question 1

Ans: D
Feedback:
Before administering the first dose of penicillin, the nurse should obtain and review the patient's general health history, including any allergy history, a history of all medical and surgical treatments, a drug history, and the current symptoms of the infection. The patient's stool is examined only after penicillin has been administered if the patient has diarrhea. It is not required to evaluate the patient's lifestyle and diet as part of the preadministration assessment for the first dose. Renal and hepatic function tests may be performed at intervals during penicillin therapy, usually not before it.

Answer to Question 2

Ans: A
Feedback:
The nurse should regularly inspect the patient's mouth and gums to assess the patient's progress. The nurse should instruct the patient to use a soft-bristled toothbrush. The patient need not follow a liquid diet; a nonirritating soft diet can be recommended. Gargling every 2 hours may not help relieve the symptoms and may even aggravate the existing condition.

[audragclark]

TYSM

[AmberC1996]

Excellent