« previous next »

Author Question: A patient is given a drug for the first time and develops shortness of breath. The patient's heart ... (Read 49 times)

Destiiny22

  • Hero Member
  • *****
  • Posts: 557
on: Jul 23, 2018
A patient is given a drug for the first time and develops shortness of breath. The patient's heart rate is 76 beats per minute, the respiratory rate is 20 breaths per minute, and the blood pressure is 120/70 mm Hg.
 
  The nurse checks a drug administration manual to make sure the correct dose was given and learns that some patients taking the drug experience shortness of breath. The nurse will contact the provider to report a(n):
  a. allergic reaction.
  b. idiosyncratic effect.
  c. iatrogenic response.
  d. side effect.

Question 2

A patient is taking sertraline (Zoloft) for depression, and the provider orders azithromycin (Zithromax) to treat an infection. What will the nurse do?
 
  a. Contact the provider to discuss an alternative to azithromycin.
  b. Request an order for a different antidepressant medication.
  c. Request an order to reduce the dose of sertraline.
  d. Withhold the sertraline while giving the azithromycin.


Jane

  • Sr. Member
  • ****
  • Posts: 309
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
A side effect is a secondary drug effect produced at therapeutic doses. This patient received the correct dose of the drug and developed shortness of breath which, in this case, is a drug side effect. To experience an allergic reaction, a patient must have prior exposure to a drug and sensitization of the immune response. An idiosyncratic effect results from a genetic predisposition to an uncommon drug response. An iatrogenic response occurs when a drug causes symptoms of a disease.

Answer to Question 2

ANS: A
Both sertraline and azithromycin prolong the QT interval, and when taken together, they increase the risk of fatal dysrhythmias. Because the antibiotic is used for a short time, it is correct to consider using a different antibiotic. Reducing the dose of sertraline does not alter the combined effects of two drugs that lengthen the QT interval. Sertraline should not be stopped abruptly, so withholding it during antibiotic therapy is not indicated.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Bacteria have been found alive in a lake buried one half mile under ice in Antarctica.

Did you know?

You should not take more than 1,000 mg of vitamin E per day. Doses above this amount increase the risk of bleeding problems that can lead to a stroke.

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...
Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Nurses may collaborate with social workers, physicians, and other members of the health care team to Nurses may collaborate with social workers, physicians, and other members of the health care team to
Leukemia. A blood smear from a patient suffering from leukemia demonstrates the abundance of enlarge Leukemia. A blood smear from a patient suffering from leukemia demonstrates the abundance of enlarge
Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and
Earth’s history is divided into nested sets of time--eons, eras, periods, and epochs--and is called Earth’s history is divided into nested sets of time--eons, eras, periods, and epochs--and is called
Effect of pH on drug absorption: (a) A weak acid such as aspirin (ASA) is in a nonionized form in an ... Effect of pH on drug absorption: (a) A weak acid such as aspirin (ASA) is in a nonionized form in an ...
Liposomal amphotericin B: Drug molecules are embedded in the lipid bilayer. Liposomal amphotericin B: Drug molecules are embedded in the lipid bilayer.
Video: Causes of Angina

For a complete list of videos, visit our video library