An older adult with a history of asthma, rhinitis, and no known drug allergies has been admitted to receive IV antimicrobial therapy for bronchitis. The patient has received the oral form of the antimicrobial agent in the past
Which factors increase the risk for an allergic reaction? (Select all that apply.)
a. Medical history of asthma
b. The patient's age
c. IV antimicrobial therapy
d. Medical history of rhinitis
e. Subsequent use of the same antimicrobial therapy
ANS: A, D, E
Patients with a history of asthma, allergies, or rhinitis should be closely monitored for possible allergic reaction. Subsequent use of the same antimicrobial therapy may only pose a risk if a reaction occurred with the first administration of the drug; in this case, repeat exposures to a previously sensitized substance can be fatal. Older adults, because of physiologic changes of aging, require close observation for therapeutic response and drug toxicity, but not necessarily for allergic reaction. The route of administration does not increase the risk of an allergic reaction.
You might also like to view...
The pediatric nurse caring for children in the emergency room teaches the student nurse about the injury statistics related to abdominal trauma. Which information does the nurse provide to the student? (Select all that apply.)
A. Injuries are responsible for more than 70% of all deaths in the 15- to 24-year-old age group. B. Injuries are the leading cause of death in children and adolescents after their first year. C. Injuries from motor vehicle crashes are the main cause of accidental death in the United States. D. Injuries to the abdomen and genitourinary system are usually caused by abuse. E. Injuries to the abdominal and genitourinary area account for 10% of serious trauma.
The nurse reminds a family that people with autism are also referred to as ________
ANS:
The nurse is caring for an older client that states, "I am not taking this medication anymore, and I am tired of being here." Which is the best action for the nurse to take?
1. Contact the client's family. 2. Discuss the therapeutic action of the medication. 3. Remind the client about their agreement for treatment. 4. Inform the client of their right to leave the facility AMA.
A patient is receiving tobramycin 3 times daily. A tobramycin peak level is 4.5 and the trough is 1.2. What will the nurse do?
a. Give the next dose as ordered. b. Hold the next dose and notify the provider. c. Monitor the patient for signs of nephrotoxicity. d. Tell the patient to report tinnitus.