Author Question: The nurse is assessing a patient new to the clinic. The patient says she is allergic to penicillin. ... (Read 9 times)

james9437 · **on:** Jul 23, 2018

The nurse is assessing a patient new to the clinic. The patient says she is allergic to penicillin. What would be the nurse's appropriate next action?

A) Ascertain the exact nature of the patient's response to the drug.
B) Document the patient is allergic to penicillin.
C) Mark the patient's chart in red that she has a penicillin allergy.
D) Continue to assess the patient for other allergies.

Question 2

Urinary anti-infectives are used only to treat urinary tract infections (UTIs). What causes urinary anti-infectives to be so effective in treating UTIs?

A) They sterilize feces.
B) They act specifically within the urinary tract.
C) They reach high plasma levels in a short period of time.
D) They are excreted through the liver.

ebe · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Ask additional questions of patients who state that they have a drug allergy to ascertain the exact nature of the response and whether it is a true drug allergy. Patients may confuse secondary actions of the drug with an allergy. Only after it was determined the action was truly an allergy would the nurse document the allergy, mark the patient's chart, and continue to assess for other allergies.

Answer to Question 2

B
Feedback:
Urinary tract anti-infectives act specifically within the urinary tract to destroy bacteria, either through a direct antibiotic effect or through acidification of the urine. They are not used in systemic infections because they do not attain therapeutic plasma levels. These drugs are usually excreted through the kidneys not through the liver, and they do not sterilize feces.