This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A nurse is preparing to administer intramuscular penicillin to a patient who is infected with T. ... (Read 44 times)

lunatika

  • Hero Member
  • *****
  • Posts: 548
on: Jul 23, 2018
A nurse is preparing to administer intramuscular penicillin to a patient who is infected with T. pallidum and notes that the order is for sodium penicillin G. Which action is correct?
 
  a. Administer the drug as prescribed.
  b. Contact the provider to discuss adminis-tering the drug intravenously.
  c. Contact the provider to discuss changing the drug to benzathine penicillin G.
  d. Request an order for piperacillin instead of penicillin G.

Question 2

A nurse is preparing to administer digoxin Lanoxin to a patient. The patient's heart rate is 62 beats per minute, and the blood pressure is 120/60 mm Hg. The last serum electrolyte value showed a potassium level of 5.2 mEq/L.
 
  What will the nurse do? a. Contact the provider to request an in-creased dose of digoxin.
  b. Give the dose of digoxin and notify the provider of the potassium level.
  c. Request an order for a diuretic.
  d. Withhold the dose and notify the provider of the heart rate.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Hikerman221

  • Sr. Member
  • ****
  • Posts: 346
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
The procaine and benzathine penicillin salts are absorbed slowly and are considered repository preparations. When benzathine penicillin G is injected IM, penicillin G is absorbed for weeks and is useful only against highly sensitive organisms such as T. pallidum. Sodium penicillin G is absorbed rapidly, with peak effects in 15 minutes. Administering the drug IV will not yield repo-sitory effects. Piperacillin is not used for T. pallidum IC.

Answer to Question 2

B
The patient's serum potassium level is above normal limits, but only slightly. An elevated potas-sium level can reduce the effects of digoxin, so there is no risk of toxicity. There is no indication that an increased dose of digoxin is needed. There is no indication for a diuretic. The heart rate is acceptable; doses should be withheld if the heart rate is less than 60 beats per minute.


lunatika

  • Member
  • Posts: 548
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

Mochi

  • Member
  • Posts: 300
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Inotropic therapy does not have a role in the treatment of most heart failure patients. These drugs can make patients feel and function better but usually do not lengthen the predicted length of their lives.

Did you know?

Illness; diuretics; laxative abuse; hot weather; exercise; sweating; caffeine; alcoholic beverages; starvation diets; inadequate carbohydrate consumption; and diets high in protein, salt, or fiber can cause people to become dehydrated.

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

The Centers for Disease Control and Prevention (CDC) was originally known as the Communicable Disease Center, which was formed to fight malaria. It was originally headquartered in Atlanta, Georgia, since the Southern states faced the worst threat from malaria.

(A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive (A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive
Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot
A patient with Cushing’s syndrome (A) before and (B) after receiving treatment. Sharmyn McGraw A patient with Cushing’s syndrome (A) before and (B) after receiving treatment. Sharmyn McGraw
(a) Chicken pox vesicles. (b) Chicken pox on back of young patient. (a) Chicken pox vesicles. (b) Chicken pox on back of young patient.
Metabolic pathways leading to nucleotide modifications in T-even phage–infected E. coli Metabolic pathways leading to nucleotide modifications in T-even phage–infected E. coli
Video: Digestion Animation

For a complete list of videos, visit our video library