The nurse is performing an assessment on a patient taking penicillin G (Benzylpenicillin). The patient shows confusion and hallucinations. The nurse would be correct to assume that
a. blood levels of the drug are too high.
b. the patient has a history of alcohol abuse.
c. an intra-arterial injection has been administered inadvertently.
d. an accidental injection into a peripheral nerve has been administered.
A
Neurotoxicity (seizure, confusion, hallucination) may occur if blood levels of penicillin G are too high. The signs and symptoms are clearly neurologic in nature.
Nothing indicates that the patient has a history of alcohol abuse.
Manifestations of an intra-arterial injection are gangrene, necrosis, or sloughing of tissue.
An accidental peripheral nerve injection may result in paralysis.
You might also like to view...
Two LPNs are colleagues on the same medical-surgical floor. They went to the same LPN school. When on break time, they discuss the holistic entries of the nursing care plans they are helping create. This behavior is an example of:
1. subculture. 2. democracy. 3. diversity. 4. ethnicity.
A school health nurse is working on education programs for high school students. As part of the plan, the nurse wants to address health concern topics besides the dangers of unprotected sex or drug and alcohol abuse. Which class topic should the nurse present to these students?
1. Warning signs of depression for peers to identify among their classmates 2. Injury prevention 3. Early signs of cancer and heart disease 4. Normal physiological changes of this age group
A nurse is completing an assessment of the patient. Which principle is a priority?
a. Foot care will always be important. b. Daily bathing will always be important. c. Hygiene needs will always be important. d. Critical thinking will always be important.
Physical examinations are done
a. to maintain wellness b. to detect early some diseases like cancer and heart disease c. as a good approach to preventive medicine d. to make sure employees are able to perform certain duties that are in their job description