A 42-year-old male patient is brought to the emergency department ...

[Melani1276]

A 42-year-old male patient is brought to the emergency department by ambulance. The patient is in distress. The nurse suspects an anaphylactic reaction resulting from taking oral penicillin.
 
  What assessment findings are important in making this diagnosis? A) Blood pressure (BP): 186/100, difficulty breathing
  B) Hematocrit (Hct): 32, decreased urine output
  C) Temperature: 102, swollen joints
  D) Profuse sweating, Blood Pressure: 92/58

Question 2

The nurse is caring for a patient diagnosed with amebiasis caused by Entamoeba histolytica that resulted in the patient having amebic dysentery.
 
  What questions might the nurse ask in an attempt to discover how the patient came in contact with the organism? (Select all that apply.) A) Have you traveled outside the country recently?
  B) Have you been swimming in a lake or pond recently?
  C) Have you been eating fresh fruits or vegetables without washing them first?
  D) Have you been bitten by a mosquito?
  E) Have you had unprotected sex recently?

[jrpg123456]

Answer to Question 1

A
Feedback:
An anaphylactic reaction is an immune reaction that causes a massive release of histamine, which results in edema and swelling that can lead to respiratory distress and increased blood pressure. A decreased hematocrit and decreased urine output suggests a cytotoxic reaction. An increased temperature and swollen joints could suggest serum sickness. Profuse sweating and decreased blood pressure may indicate cardiac-related issues.

Answer to Question 2

A, B, C
Feedback:
The disease is transmitted while the protozoan is in the cystic stage in fecal matter, from which it can enter water and soil. It can be passed to other humans who drink this water or eat food that has been grown in this ground. It is not passed by a mosquito or from sexual activity.

[Melani1276]

TYSM

[Joy Chen]

Gracias!