The client is to receive an injection of penicillin G benzathine ...

[littleanan]

The client is to receive an injection of penicillin G benzathine (Bicillin LA) in the outpatient clinic. What are the priority nursing actions prior to administering this injection?
 
  1. Have the client lie down and assess vital signs before she leaves.
  2. Ask the client if she has ever had an allergy to penicillin before.
  3. Inform the client that she will need to wait 30 minutes before leaving the clinic.
  4. Inform the client that she must have someone drive her home.
  5. Advise the client to rest for the remainder of the day.

Question 2

The client receives multiple drugs for treatment of tuberculosis. The nurse teaches the client the rationale for multiple drug treatment and evaluates learning as effective when the client makes which statement?
 
  1. Current research indicates that the most effective way to treat tuberculosis is with multiple drugs.
  2. Multiple drugs are necessary because the bacteria are likely to develop resistance to just one drug.
  3. Treatment for tuberculosis is complex, and multiple drugs must be continued for as long as I am contagious.
  4. Multiple drug treatment is necessary for me to be able to develop immunity to tuberculosis.

[triiciiaa]

Answer to Question 1

2,3
Rationale 1: There is no reason to have the client lie down. It is not important to assess vital signs unless a problem has developed.
Rationale 2: It is always important to ask about allergies. The nurse must be aware, however, that no history of allergy does not guarantee there will not be an allergic response with this administration.
Rationale 3: It is important that the client be reassessed for development of allergic reaction before leaving the clinic.
Rationale 4: There is no indication that the client will require someone else to drive her home.
Rationale 5: There is no specific reason the client should rest related to administration of penicillin.
Global Rationale: It is always important to ask about allergies. The nurse must be aware, however, that no history of allergy does not guarantee there will not be an allergic response with this administration. It is important that the client be reassessed for development of allergic reaction before leaving the clinic. There is no reason to have the client lie down. It is not important to assess vital signs unless a problem has developed. There is no indication that the client will require someone else to drive her home. There is no specific reason the client should rest related to administration of penicillin.

Answer to Question 2

2
Rationale 1: Current research does support multiple drug treatment, but this does not explain the rationale for this to the client.
Rationale 2: Tuberculosis bacilli are likely to develop resistance to one drug, so multiple drugs must be used.
Rationale 3: Treatment must be continued long after the client is no longer contagious.
Rationale 4: Clients cannot develop immunity to bacterial infections.
Global Rationale: Tuberculosis bacilli are likely to develop resistance to one drug, so multiple drugs must be used. Current research does support multiple drug treatment, but this does not explain the rationale for this to the client. Treatment must be continued long after the client is no longer contagious. Clients cannot develop immunity to bacterial infections.

[littleanan]

Both answers were spot on, thank you once again

[triiciiaa]

Great! Please up vote