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 nurse is using Standard Precautions to draw blood.
Differences between a Nurse Practitioner
A medical assistant helps the physician with a patient.
All messages must be documented and placed in the patient's chart.
A computerized patient registration form used by offices with electronic health records.
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2)