Answer to Question 1
B
Patients who develop urticaria (hives) and pruritus are at risk for anaphylaxis, which would be indicated by bronchoconstriction and wheezing. Note: As a test strategy, when answering a priority question, make sure you go through the ABCs, then other physiological priorities, then safety and security priorities, then love and belonging priorities. This is clearly an ABC priority.
Never leave the patient, because the allergic reaction may precipitate anaphylaxis, and you would need to assess for changes in respiratory status.
Simply documenting the findings ignores the patient risk for anaphylaxis.
Epinephrine should be administered only in the event of anaphylaxis.
Answer to Question 2
B
Drugs in the phenothiazine class, such as chlorpromazine, can sensitize the skin to ultraviolet light and increase the risk of severe sunburn. Patients should be instructed to avoid excessive exposure to sunlight, to apply sunscreen, and to wear protective clothing when outside.
Chlorpromazine has no effect on a patient's ability to drive a car.
Antipsychotic agents, such as chlorpromazine, can actually impair the libido, orgasm, and ejacu-lation.
Orthostatic hypotension, not hypertension, is a side effect of antipsychotics such as chlorproma-zine.
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
Positioning the Patient in the Supine Position
Patient having glaucoma test.
Assisting the patient to transfer from the bed or examining table to a wheelchair.
Symptoms of a patient in shock.