The nurse is performing a physical assessment on a patient who is receiving treatment with the abacavir, zidovudine, and lamivudine (Trizivir). The patient complains of fatigue
Upon further assessment, the nurse finds a rash and notes that the patient has a temperature of 101.1° F. Select the nurse's best course of action.
a. Tell the patient that this is a expected response to these medications and to continue the agents as prescribed.
b. Have the patient discontinue the medications and arrange for an immediate evaluation by the prescriber.
c. Have the patient continue the abacavir but discontinue the other two agents for 3 weeks.
d. Instruct the patient to continue all three medications and administer an antihistamine for the symptoms.
ANS: B
The patient should discontinue the medication. Immediate assessment by the provider is required, because these are early symptoms of a fatal hypersensitivity reaction.
This is not an expected response and is indicative of a serious reaction, which the patient should report to the prescriber immediately.
The patient should not continue the medication for any additional dosages.
You might also like to view...
When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. The nurse interprets that these sounds are:
a. Normally auscultated over the trachea. b. Bronchial breath sounds and normal in that location. c. Vesicular breath sounds and normal in that location. d. Bronchovesicular breath sounds and normal in that location.
The patient underwent an allograft renal transplant 48 hours earlier and is showing signs of rejection. What drug would the nurse expect the physician to order?
A) Muromonab B) Anakinra C) Mycophenolate D) Sirolimus
The nurse is providing care to a patient who is receiving an aminoglycoside for a wound infection. The patient is also ordered to receive a cephalosporin. The nurse would carefully assess the patient for which of the following?
A) Nausea B) Nephrotoxicity C) Increased bleeding D) Respiratory difficulty
Many facilities use a quick reference report form known as a(n) ____________________ that places the physician's orders and the nursing orders for each patient in one location,
on a single page where it can be retrieved or referred to quickly without having to go through an entire patient chart or medical record. Fill in the blank with correct word.