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

Author Question: A patient presents to the emergency department with edema of the glottis, bronchoconstriction, and a ... (Read 40 times)

debasdf

  • Hero Member
  • *****
  • Posts: 570
on: Jul 23, 2018
A patient presents to the emergency department with edema of the glottis, bronchoconstriction, and a blood pressure of 82/38 . Friends state that the reaction was a result of an insect sting. Which drug should the nurse prepare to administer?
 
  a. Ephedrine
  b. Diphenhydramine (Benadryl)
  c. Dopamine
  d. Epinephrine (Adrenaline)

Question 2

A patient is prescribed azithromycin (Zithromax) as an alternative to penicillin.
 
  The patient tells the nurse that he experienced nausea and vomiting when he took erythromycin several months ago and asks if he should expect the same effects with azithromycin. Select the nurse's best re-sponse. a. I need to call your health care provider and ask for a different antibiotic.
  b. This drug is like erythromycin but has less severe gastrointestinal side effects.
  c. Take the drug with a hearty meal to reduce gastrointestinal side effects.
  d. I will get a prescription for an antiemetic in case this drug causes vomiting.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

zhanghao

  • Sr. Member
  • ****
  • Posts: 316
Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Epinephrine is the drug of choice for anaphylaxis.
Ephedrine is not a drug of choice in an anaphylaxis situation.
Diphenhydramine is an antihistamine and is indicated for minor allergic reactions, not evident in this patient, who is symptomatic of anaphylaxis.
Dopamine, which can be used to bring blood pressure up, would not reverse the signs and symp-toms of anaphylaxis.

Answer to Question 2

B
The nurse's best response is that azithromycin has fewer severe gastrointestinal (GI) side effects than erythromycin.
Calling the health care provider is not necessary, because it is not known whether the patient will experience nausea with the medication.
Azithromycin should not be taken with meals, because absorption is reduced by 50 in the presence of food.
Obtaining a prescription for an antiemetic is not necessary, because it is not known whether the patient will have any GI side effects; they occur in only 3 of those who take the drug.


debasdf

  • Hero Member
  • *****
  • Posts: 570
Reply #2 on: Jul 23, 2018
Thank you!


zhanghao

  • Sr. Member
  • ****
  • Posts: 316
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

One way to reduce acid reflux is to lose two or three pounds. Most people lose weight in the belly area first when they increase exercise, meaning that heartburn can be reduced quickly by this method.

Did you know?

The top five reasons that children stay home from school are as follows: colds, stomach flu (gastroenteritis), ear infection (otitis media), pink eye (conjunctivitis), and sore throat.

Did you know?

By definition, when a medication is administered intravenously, its bioavailability is 100%.

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Patient with osteoarthritis Patient with osteoarthritis
Empathy draws a more positive response from the patient because it is based on the willingness of th Empathy draws a more positive response from the patient because it is based on the willingness of th
Every medical office should keep emergency supplies in a waterproof container. Every medical office should keep emergency supplies in a waterproof container.
Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious
Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture). Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture).
Kwashiorkor The edema in this child’s belly is a classic sign of kwashiorkor Kwashiorkor The edema in this child’s belly is a classic sign of kwashiorkor
Video: Oogenesis Animation

For a complete list of videos, visit our video library