Answer to Question 1
B
Allopurinol delays conversion of mercaptopurine to inactive products and increases the risk of azathioprine toxicity. Patients taking the two concurrently should have an approximate 70 re-duction in the azathioprine dose. Altering the allopurinol dose is not indicated.
Answer to Question 2
A
Gentamicin should not be infused with penicillins in the same solution, because PCN inactivates gentamicin; therefore, the nurse should give one first, flush the line, and then give the other. The nurse cannot give a drug IM when it is ordered IV without an order from the prescriber. These two drugs should not be infused in the same solution. There is no indication for changing the PCN to vancomycin; that should be done for serious infections.
When using an interpreter, the nurse should pose questions directly to the patient, not the interpre
Palpating the Apical Impulse with the Patient on the Left Side
The correct beginning position for the patient’s feet and crutches (tripod position).
Sandwich or capture enzyme immunoassay for patient IgM (double capture: IgM capture, Ag capture).
Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum.
Risk assessment codes for an HIV-infected patient.