A patient, age 28, is treated at the clinic with an injection of long-acting penicillin for a streptococcal throat infection. Her history reveals that she has received penicillin before with no allergic responses.
When the penicillin injection is administered, which information should be given to the patient by the nurse? a. Because she has taken penicillin before without problems, she can safely take it now.
b. She must wait in the clinic area for 20 minutes before she is discharged.
c. She would have immediate symptoms if she had developed an allergy to penicillin.
d. She should monitor for fever and skin rash typical of serum sickness after taking penicillin.
Question 2A patient comes to the walk-in clinic. While assessing the patient's vital signs, the nurse assesses the patient's blood pressure at 128/89 mm Hg. According to JNC7, how would this patient's blood pressure be classified?
A) Hypertensive
B) Normal
C) Slightly hypertensive
D) Prehypertensive
Question 3The nurse is working with a patient who has uncontrolled hypertension. The patient asks the nurse what can happen if his blood pressure is not brought under control. What are potential consequences of uncontrolled hypertension? Select all that apply.
A) Transient ischemic attacks
B) Cerebrovascular accident
C) Retinal hemorrhage
D) Venous insufficiency
E) Right ventricular hypertrophy
Question 4A patient has come to the clinic for a follow-up assessment. Before taking the blood pressure, the nurse should determine if the patient has:
A) Tried to rest quietly for 5 minutes before the reading is taken
B) Refrained from smoking for at least 8 hours
C) Been NPO for at least 2 hours
D) Avoided drinking coffee for 12 hours before the visit
Question 5A patient, age 47, is undergoing skin testing with intracutaneous injections on the forearm to identify allergens to which she is sensitive.
Immediately after the nurse administers one of the injections, the patient complains of itching at the site, weakness, and dizziness. Which action by the nurse is most appropriate initially? a. Elevate the arm above the shoulder.
b. Administer subcutaneous epinephrine.
c. Give 0.2 to 0.5 mL of epinephrine 1:1,000 subcutaneously.
d. Apply a local anti-inflammatory cream to the site.
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