Author Question: A 22-year-old college student is allergic to penicillin. Consequently, her current chlamydial ... (Read 59 times)

FButt · **on:** Jul 23, 2018

A 22-year-old college student is allergic to penicillin. Consequently, her current chlamydial infection is being treated with oral erythromycin. What assessment should the nurse prioritize during this patient's course of treatment?

A) Assessment of the patient's apical heart rate
B) Assessment of the patient's hearing
C) Assessment of the patient's peripheral pulses
D) Assessment of the patient's renal function

Question 2

An adult patient with an autoimmune disorder regularly takes oral corticosteroids. The nurse knows that corticosteroids can be used in the successful treatment of inflammation but that they also create a risk for

A) bleeding.
B) leukocytosis.
C) infection.
D) electrolyte imbalances.

cam1229 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
With erythromycin, it is important to assess the patient's hearing. The loss of hearing is reversible with the discontinuation of the medication. Erythromycin does not typically affect renal function or circulation. The IV form has been associated with dysrhythmias, but this is not the case with the oral form.

Answer to Question 2

C
Feedback:
Corticosteroids impair phagocytosis by preventing phagocytic cells from leaving the bloodstream. They decrease the amount of lymphocytes, fibroblasts, and collagen needed for tissue repair. This causes a reduction in inflammation but a commensurate increase in the patient's risk for infection.