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

Author Question: A nurse is caring for an African American patient who has been admitted to the unit for long-term ... (Read 95 times)

joe

  • Hero Member
  • *****
  • Posts: 627
on: Jul 23, 2018
A nurse is caring for an African American patient who has been admitted to the unit for long-term antibiotic therapy with sulfonamides. The patient develops fever, pallor, and jaundice.
 
  The nurse would be correct to suspect that the patient has developed: a. Stevens-Johnson syndrome.
  b. kernicterus.
  c. hepatotoxicity.
  d. hemolytic anemia.

Question 2

A patient with bronchitis is taking TMP/SMZ, 160/800 mg orally, twice daily. Before adminis-tering the third dose, the nurse notes that the patient has a widespread rash, a temperature of 103F, and a heart rate of 100 beats per minute.
 
  The patient looks ill and reports not feeling well. What will the nurse do? a. Administer the dose and request an order for an antipyretic medication.
  b. Withhold the dose and request an order for an antihistamine to treat the rash.
  c. Withhold the dose and notify the provider of the symptoms.
  d. Request an order for intravenous TMP/SMZ, because the patient is getting worse.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

memslove

  • Sr. Member
  • ****
  • Posts: 321
Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Sulfonamides can cause hemolytic anemia in patients of African American and Mediterranean origin, usually because of a genetic deficiency. Red cell lysis can produce fever, pallor, and jaundice, and patients should be observed for these signs. The patient's signs and symptoms are not characteristic of Stevens-Johnson syndrome or hepatotoxicity. The patient's signs and symp-toms are not characteristic of kernicterus, which occurs in newborns.

Answer to Question 2

C
The most severe hypersensitivity reaction with TMP/SMZ is Stevens-Johnson syndrome, which manifests with fever, malaise, and rash. The drug should be discontinued immediately if a rash occurs. Requesting an antipyretic while giving the drug is incorrect. Giving antihistamines is not indicated. Giving TMP/SMZ intravenously would make the reaction worse.


joe

  • Member
  • Posts: 627
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

TheNamesImani

  • Member
  • Posts: 334
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Critical care patients are twice as likely to receive the wrong medication. Of these errors, 20% are life-threatening, and 42% require additional life-sustaining treatments.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

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.

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

African (above) and Asiatic (below) lions, as illustrated in Johnsons Book of Nature African (above) and Asiatic (below) lions, as illustrated in Johnsons Book of Nature
Example of a patient’s ledger in practice management software. Example of a patient’s ledger in practice management software.
Promoting Adherence in the Older Adult Patient Promoting Adherence in the Older Adult Patient
To measure engine oil pressure, remove the oil pressure sending (sender) unit usually located near ... To measure engine oil pressure, remove the oil pressure sending (sender) unit usually located near ...
This patient presented with a case of facial palsy caused by an infection by the bacterial ... This patient presented with a case of facial palsy caused by an infection by the bacterial ...
Video: Embryonic development - week 1 and 2

For a complete list of videos, visit our video library