This topic contains a solution. Click here to go to the answer

Author Question: An hour after taking a medication, a nurse notes that the patient displays urticaria and pruritus. ... (Read 60 times)

burton19126

  • Hero Member
  • *****
  • Posts: 532
An hour after taking a medication, a nurse notes that the patient displays urticaria and pruritus. The nurse's priority action for this patient would be to
 
  a. leave the patient to call the prescriber.
  b. assess for changes in respiratory pattern and wheezing.
  c. document the findings.
  d. administer epinephrine to the patient STAT.

Question 2

A nurse is caring for a patient taking chlorpromazine (Thorazine) who is to be discharged from the hospital. What information about chlorpromazine (Thorazine) would be most important for the nurse to include in the discharge teaching?
 
  a. Do not drive for 6 months.
  b. Avoid excessive exposure to sunlight and wear sunscreen.
  c. This medication may actually enhance your libido.
  d. Monitor your blood pressure frequently to avoid hypertension.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Tonny

  • Sr. Member
  • ****
  • Posts: 341
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.




burton19126

  • Member
  • Posts: 532
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)


nanny

  • Member
  • Posts: 313
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Aspirin may benefit 11 different cancers, including those of the colon, pancreas, lungs, prostate, breasts, and leukemia.

Did you know?

Despite claims by manufacturers, the supplement known as Ginkgo biloba was shown in a study of more than 3,000 participants to be ineffective in reducing development of dementia and Alzheimer’s disease in older people.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

The first oncogene was discovered in 1970 and was termed SRC (pronounced "SARK").

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

For a complete list of videos, visit our video library