A patient who is receiving an IV antibiotic develops wheezes and ...

[abern]

A patient who is receiving an IV antibiotic develops wheezes and dyspnea. In which order should the nurse implement these prescribed actions? (Put a comma and a space between each answer choice A, B, C, D, E).
 
  a. Discontinue the antibiotic infusion.
  b. Give diphenhydramine (Benadryl) IV.
  c. Inject epinephrine (Adrenalin) IM or IV.
  d. Prepare an infusion of dopamine (Intropin).
  e. Start 100 oxygen using a nonrebreather mask.

Question 2

A patient who has vague symptoms of fatigue, headaches, and a positive test for human immunodeficiency virus (HIV) antibodies using an enzyme immunoassay (EIA) test. What instructions should the nurse give to this patient?
 
  a. The EIA test will need to be repeated to verify the results.
  b. A viral culture will be done to determine the progression of the disease.
  c. It will probably be 10 or more years before you develop acquired immunodeficiency syndrome (AIDS).
  d. The Western blot test will be done to determine whether acquired immunodeficiency syndrome (AIDS) has developed.

[Melissahxx]

Answer to Question 1

ANS:
A, E, C, B, D
The nurse should initially discontinue the antibiotic because it is the likely cause of the allergic reaction. Next, oxygen delivery should be maximized, followed by treatment of bronchoconstriction with epinephrine administered IM or IV. Diphenhydramine will work more slowly than epinephrine, but will help prevent progression of the reaction. Because the patient currently does not have evidence of hypotension, the dopamine infusion can be prepared last.

Answer to Question 2

ANS: A
After an initial positive EIA test, the EIA is repeated before more specific testing such as the Western blot is done. Viral cultures are not usually part of HIV testing. It is not appropriate for the nurse to predict the time frame for AIDS development. The Western blot tests for HIV antibodies, not for AIDS.

[abern]

TYSM

[ebonylittles]

Excellent