A child with known peanut allergy accidentally ingests peanuts and develops severe difficulty in breathing, facial swelling, and hives. What is the priority action by the nurse?

Administer an antipyretic

Administer epinephrine and call for emergency medical assistance

Offer a cold drink

Provide a heating pad for comfort

Answer and Explanation

The Correct Answer is B

A. Administering an antipyretic is not appropriate for anaphylaxis, a severe allergic reaction that requires immediate intervention.

B. Administering epinephrine is the first-line treatment for anaphylaxis. After administering epinephrine, calling for emergency medical assistance is crucial.

C. Offering a cold drink is not the appropriate intervention for anaphylaxis and will not address the life-threatening symptoms.

D. Providing a heating pad is not relevant to the situation and will not address the symptoms of anaphylaxis.

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Correct Answer is B

Explanation

A. Administering an antipyretic without further evaluation is not appropriate for a suspected case of bacterial meningitis.

B. Performing a lumbar puncture to analyze cerebrospinal fluid and starting antibiotics is the standard intervention for suspected bacterial meningitis.

C. Administering an antihistamine is not the appropriate intervention for bacterial meningitis, which is a bacterial infection of the meninges.

D. Ordering a head CT scan is not the first-line diagnostic test for suspected bacterial meningitis. A lumbar puncture is the diagnostic procedure of choice.

A. Administering an antipyretic B. Administering intravenous diazepam or lorazepam C. Administering oral phenytoin D. Administering an antihistamine

Correct Answer is B

Explanation

A. Administering an antipyretic is not the priority in managing status epilepticus. Controlling the seizure activity takes precedence.

B. Administering intravenous diazepam or lorazepam is the first-line treatment for status epilepticus to stop ongoing seizures.

C. Administering oral phenytoin is not appropriate in the acute management of status epilepticus. Intravenous benzodiazepines are the preferred initial treatment.

D. Administering an antihistamine is not the appropriate intervention for status epilepticus. Intravenous benzodiazepines are used to stop the seizure activity.

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A child with known peanut allergy accidentally ingests peanuts and develops severe difficulty in breathing, facial swelling, and hives. What is the priority action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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