Prior to the administration of penicillin, a nurse reviews ...

[tiffannnnyyyyyy]

Prior to the administration of penicillin, a nurse reviews medication literature regarding precautions associated with penicillin. For which patient would the nurse most likely consider these precautions warranted?
 
  a. A patient who has a history of anaphylaxis from promethazine (Phenergan)
  b. A patient who has a history of bronchitis and asthma
  c. A patient who reports an allergy to sulfa-based agents
  d. A patient who reports a history of a mild rash from penicillin taken 7 years ago

Question 2

The nurse is preparing to administer medications to a patient admitted with a left total knee replacement (TKR). As part of the preadministration assessment, the nurse would first
 
  a. administer the medications with a full cup of water.
  b. check the patient's arm band for allergies.
  c. monitor the patient for toxicity.
  d. perform a physical assessment.

[nmyers]

Answer to Question 1

ANS: D
Even a minor allergy to penicillin warrants precautions during administration, because a more severe allergic reaction may occur.
Promethazine is not related to penicillin, therefore no precautions are necessary.
A history of bronchitis and asthma would not be prohibiting factors preventing the use penicillin.
A patient who has a known allergy to sulfa-based drugs does not have a cross-sensitivity to penicillin drugs, therefore no precautions are necessary.

Answer to Question 2

ANS: B
Checking the patient's arm band before administration verifies allergies and is the only option, provided it is done before administration of medications.
A full cup of water is not relevant, because many patients take their meds with a sip of water, and this is not a preadministration assessment.
Monitoring the patient for toxicity would be an evaluation rather than a preassessment.
A physical assessment is not necessary unless the patient's status changes, such as an inability to swallow.

[tiffannnnyyyyyy]

Excellent

[yeungji]

Gracias!