Nokea
You are caring for a patient who has an order for an IV antibiotic. When you hang the second bag, the patient goes into an anaphylactic reaction. Which actions will you expect to perform?
- A. Stop the medication immediately.
- B. Slow the IV rate and administer diphenhydramine (Benadryl) via the IV route.
- C. Follow the facility policy for responding to anaphylaxis.
- D. Increase IV fluids to help increase the blood pressure.
- E. Obtain IV epinephrine in case it is needed.
Correct Answer: A,C,E
Rationale: In anaphylaxis, immediately stopping the medication, following facility protocol, and preparing epinephrine are critical. Slowing the IV or increasing fluids without addressing the reaction is inappropriate.
You may also like to solve these questions
Which patient is most likely to have a drug reaction?
- A. A patient with kidney failure who is on dialysis
- B. A patient who is more physically active than the average person
- C. A patient with no known drug allergies (NKDA)
- D. A patient who has never had a reaction to a medicine in the past
Correct Answer: A
Rationale: Patients with kidney failure have impaired drug clearance, increasing the risk of drug accumulation and reactions.
Before administering any antihypertensive medication, you will first
- A. Ask the patient if he or she is allergic to any antibiotics.
- B. Check the chart for the most recent temperature readings.
- C. Ensure that any ordered blood cultures have already been drawn.
- D. Check the patient's blood pressure to ensure that it is not too low.
Correct Answer: D
Rationale: Checking blood pressure before administering antihypertensives prevents giving the medication if the pressure is too low, avoiding hypotension.
Which of the following is an example of an over-the-counter medication?
- A. Hydrocodone (Lortab)
- B. Amoxicillin (Amoxil)
- C. Acetaminophen (Tylenol)
- D. Cefazolin (Ancef)
Correct Answer: C
Rationale: Acetaminophen (Tylenol) is available without a prescription, making it an over-the-counter medication, unlike the others, which require prescriptions.
Schedule II drugs
- A. Have a high potential for abuse.
- B. Must be counted and accounted for.
- C. Have no medicinal purpose.
- D. Include morphine, codeine, oxycodone, and meperidine.
- E. Must be kept under double lock.
Correct Answer: A,B,D,E
Rationale: Schedule II drugs have a high abuse potential, include medications like morphine and oxycodone, require strict accounting, and are often stored under double lock due to their controlled status.
The patient you are caring for has been placed on warfarin (Coumadin) to prevent blood clots. Which teaching will you provide?
- A. Do not take aspirin or products containing aspirin while you are taking Coumadin.
- B. Report excessive bruising or bleeding from the gums, eyes, kidneys, intestines, or vagina.
- C. Do not consume milk or other dairy products while you are taking Coumadin.
- D. Do not drink grapefruit juice or eat grapefruit while you are taking Coumadin.
Correct Answer: A,B
Rationale: Aspirin increases bleeding risk with warfarin, and excessive bleeding is a serious side effect to report. Dairy and grapefruit do not significantly interact with warfarin.