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

Author Question: A patient with no known drug allergies is receiving amoxicillin (Amoxil) PO twice daily. Twenty ... (Read 109 times)

viki

  • Hero Member
  • *****
  • Posts: 525
on: Jul 23, 2018
A patient with no known drug allergies is receiving amoxicillin (Amoxil) PO twice daily. Twenty minutes after being given a dose, the patient complains of shortness of breath. The patient's blood pressure is 100/58 mm Hg.
 
  What will the nurse do?
  a. Contact the provider and prepare to administer epinephrine.
  b. Notify the provider if the patient develops a rash.
  c. Request an order for a skin test to evaluate possible PCN allergy.
  d. Withhold the next dose until symptoms subside.

Question 2

A patient with an infection caused by Pseudomonas aeruginosa is being treated with piperacillin.
 
  The nurse providing care reviews the patient's laboratory reports and notes that the patient's blood urea nitrogen and serum creatinine levels are elevated. The nurse will contact the provider to discuss:
  a. adding an aminoglycoside.
  b. changing to penicillin G.
  c. reducing the dose of piperacillin.
  d. ordering nafcillin.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

underwood14

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

ANS: A
This patient is showing signs of an immediate penicillin allergy, that is, one that occurs within 2 to 30 minutes after administration of the drug. The patient is showing signs of anaphylaxis, which include laryngeal edema, bronchoconstriction, and hypotension; these must be treated with epinephrine. This is an emergency, and the provider must be notified immediately, not when other symptoms develop. It is not necessary to order skin testing. The patient must be treated immediately, and subsequent doses should not be given.

Answer to Question 2

ANS: C
Patients with renal impairment should receive lower doses of piperacillin than patients with normal renal function. Aminoglycosides are nephrotoxic. Penicillin G and nafcillin are not effective against Pseudomonas infections.


viki

  • Member
  • Posts: 525
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

lindahyatt42

  • Member
  • Posts: 322
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Studies show that systolic blood pressure can be significantly lowered by taking statins. In fact, the higher the patient's baseline blood pressure, the greater the effect of statins on his or her blood pressure.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

Did you know?

Addicts to opiates often avoid treatment because they are afraid of withdrawal. Though unpleasant, with proper management, withdrawal is rarely fatal and passes relatively quickly.

Did you know?

Computer programs are available that crosscheck a new drug's possible trade name with all other trade names currently available. These programs detect dangerous similarities between names and alert the manufacturer of the drug.

Photograph of an occupational therapist assisting a patient with learning independence in activities Photograph of an occupational therapist assisting a patient with learning independence in activities
Client on IV patient-controlled analgesia (PCA). Client on IV patient-controlled analgesia (PCA).
Building competency in patient centered care Building competency in patient centered care
Selected Drug–Food and Drug–Herbal Interactions Selected Drug–Food and Drug–Herbal Interactions
Tumor marker analysis of a patient undergoing therapy, who (1) after surgery had residual disease ... Tumor marker analysis of a patient undergoing therapy, who (1) after surgery had residual disease ...
Video: Medullary osmotic gradient - influencing factors

For a complete list of videos, visit our video library