The nurse collects the past medical history of a patient new to ...

[Shelles]

The nurse collects the past medical history of a patient new to the clinic. The patient states he or she is allergic to penicillin. What would the nurse question next? (Select all that apply.)
 
  A) What signs and symptoms were displayed with the reaction?
  B) What treatment was required to control the allergic reaction?
  C) How was the medication administered?
  D) How many dosages were administered before the reaction occurred?
  E) Had the medication ever been prescribed before the time when the reaction occurred?

Question 2

What histamine-2 antagonist might the nurse administer to a child?
 
  A) Cimetidine
  B) Famotidine
  C) Nizatidine
  D) Ranitidine

[jointhecircus]

Answer to Question 1

A, D, E
Feedback:
It is important to determine what the allergic reaction was and when the patient experienced it (e.g., after first use of drug, after years of use). If she had been prescribed this medication before with no reaction and then had a reaction the next time it was prescribed, this would be important information to know. Some patients report having a drug allergy, but closer investigation indicates that their reaction actually constituted an anticipated effect or a known adverse effect to the drug. It would not necessarily be important to find out what was done to stop the reaction or who the caregiver was at the time of the reaction or what type of allergic reaction it was.

Answer to Question 2

B
Feedback:
Famotidine is the only histamine2 antagonist approved for use in children if a histamine-2 antagonist is needed. Therefore, other options are not correct.