The nurse is caring for a patient with endocarditis who is receiving penicillin. The nurse should be particularly attentive to recognize early symptoms of which type of shock?
1. Hypovolemic
2. Cardiogenic
3. Septic
4. Anaphylactic
4
Rationale 1: Hypovolemic shock results from decreased vascular fluid volume, which would not be a primary concern in this situation.
Rationale 2: Cardiogenic shock results from loss of pumping ability due to damage to the left ventricle, such as after MI. Cardiogenic shock could result from endocarditis, but this is not the primary concern in this situation.
Rationale 3: Septic shock results from overwhelming infections.
Rationale 4: A hypersensitivity to medications, particularly penicillins, may occur at any time during initial or subsequent treatments with the drug. This hypersensitivity may result in anaphylactic shock.
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a. availability of handguns. b. growing acceptance of drug use by health professionals. c. inability of facilities to screen employees properly. d. increasing number of patients with mental illness.
What is the most important question to ask a patient before administering rifampin (RIF) intravenously?
a. "Have you ever had gout?" b. "Are you allergic to sulfa drugs?" c. "Are you allergic to sulfite preservatives?" d. "Have you had any alcoholic beverages within the last month?"
The nurse instructs a patient about doxazosin (Cardura). Which statement by the patient to the nurse indicates understanding about the instructions?
A. "It is common to have nightmares and insomnia." B. "I need to take the medication on an empty stomach." C. "The medication should be taken tonight before I go to bed." D. "I should stop taking the medication if I feel lightheaded."
The nurse notes black necrotic tissue on the client's wound. Which term should the nurse use when documenting this finding?
1. Debridement 2. Eschar 3. Alginate 4. Purulence