You are preparing a plan of care for a 78-year-old female patient ...

[DyllonKazuo]

You are preparing a plan of care for a 78-year-old female patient who has been hospitalized with a recurrent urinary tract infection (UTI).
 
  What would be important to assess for before administering a urinary tract antispasmodic? (Select all that apply.) A) Allergy to eggs
  B) Glaucoma
  C) Pyloric obstruction
  D) Dumping syndrome
  E) Duodenal obstruction

Question 2

What classification of drug allergy would be described as an immune system reaction to injected proteins used to treat immune conditions?
 
  A) A cytotoxic reaction
  B) Serum sickness
  C) A delayed reaction
  D) An anaphylactic reaction

[amit]

Answer to Question 1

B, C, E
Feedback:
Assess for contraindications or cautions: any history of allergy to these drugs to prevent hypersensitivity reactions; pyloric or duodenal obstruction; or other GI lesions or obstructions of the lower urinary tract, which could be dangerously exacerbated by these drugs; glaucoma, which could increase intraocular pressure due to blockage of the parasympathetic nervous system; and current status of pregnancy or lactation, which would require cautious use. It would not be necessary to assess this patient for an allergy to eggs or dumping syndrome.

Answer to Question 2

B
Feedback:
Serum sickness is an immune system reaction to certain medications, injected proteins used to treat immune conditions, or antiserum, the liquid part of blood that contains antibodies that help protect against infectious or poisonous substances. An allergic reaction can occur with any drug, not just those containing protein. Anaphylaxis is an acute, systemic, life-threatening allergic reaction. A cytotoxic reaction is one in which antibodies circulate and attack antigens on cell sites, causing death of that cell.

[DyllonKazuo]

Thank you!

[amit]

Always glad to help...