McKenna's Pharmacology for Nursing, 2e

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C H A P T E R 3  Toxic effects of drugs

3. A person is experiencing a reaction to the penicillin injection that was administered approximately 30 minutes ago. The healthcare provider is concerned that it might be an anaphylactic reaction. What signs and symptoms would validate her suspicion? a. rapid heart rate b. diaphoresis c. constricted pupils d. hypotension e. rash f. the person reporting a panic feeling 4. A person is experiencing a serum sickness reaction to a recent rubella vaccination. Which of the following interventions would be appropriate when caring for this person? a. administration of adrenaline b. cool environment c. positioning to provide comfort d. ice to joints as needed e. administration of anti-inflammatory agents f. administration of topical corticosteroids

MULTIPLE RESPONSE Select all that apply.

1. A person is taking a drug that is known to be toxic to the liver. The person is being discharged to home. What teaching points related to liver toxicity and the drug should the healthcare provider teach the person to report to the doctor? a. fever; changes in the colour of urine b. changes in the colour of stool; malaise c. rapid, deep respirations; increased sweating d. dizziness; drowsiness; dry mouth e. rash; black or hairy tongue; white spots in the mouth or throat f. yellowing of the skin or the whites of the eyes 2. Pregnant women should be advised of the potential risk to the fetus any time they take a drug during pregnancy. What fetal problems can be related to drug exposure in utero? a. fetal death b. nervous system disruption c. skeletal and limb abnormalities d. cardiac defects e. low-set ears f. deafness