Author Question: The nurse is obtaining a medication history of a 48-year-old patient with an ear infection who is to ... (Read 55 times)

jCorn1234 · **on:** Jul 23, 2018

The nurse is obtaining a medication history of a 48-year-old patient with an ear infection who is to receive penicillin therapy. The patient reports taking a beta-adrenergic blocker for his hypertension.

The nurse would identify that this patient is at increased risk for which of the following if penicillin is administered?

A) Anaphylactic shock
B) Higher blood pressure
C) Excess bleeding
D) Heart attack

Question 2

After taking penicillin as prescribed, a patient shows signs of diarrhea and informs the nurse that there is blood in his stools. Which of the following interventions should the nurse do next?

A) Contact primary health provider immediately.
B) Have the patient consume yogurt with his next meal.
C) Decrease fiber content in diet.
D) Continue with prescribed regimen.

pangili4 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Feedback:
Combining penicillins with beta-adrenergic blocking drugs increases the risk of anaphylactic shock. Beta-adrenergic blocking drugs are used to control blood pressure and heart problems, but combining them with penicillins does not increase the risk of high blood pressure or heart attack. Risk of bleeding is maximized if penicillins are combined with anticoagulants.

Answer to Question 2

Ans: A
Feedback:
If diarrhea is suspected, the nurse should notify the primary health care provider immediately. The nurse should wait for the primary health care provider's instructions before continuing with the prescribed regimen. Yogurt or buttermilk may help prevent fungal superinfections, but they will not help alleviate the patient's condition at this stage. Changes in the diet are not recommended unless instructed by the primary health care provider.