Brunner & Suddarth's Textbook of Medical-Surgical Nursing 13th Edition by Kerry Cheever, Janice Hinkle

Exercise 1

A patient preparing to have a valve replacement is prescribed a prophylacticdose of IV cefazolin preoperatively. The patient's chart states that he has no knowndrug allergies.Five minutes after the medication is administered, the patientcomplains of anxiety, shortness of breath, and chest discomfort.He is flushed andvisibly uncomfortable.What are your nursing priorities in providing care to thispatient? What assessment data do you need to obtain to determine if this patient isexperiencing shock? Based on the history associated with the patient presentation,what type of shock do you anticipate the patient may be experiencing and why?What nursing interventions and medical treatments would you anticipate?