A client is experiencing an anaphylactic reaction. Which of the following actions should the nurse take first?
Administering epinephrine
Calling for emergency assistance
Assessing airway patency
Positioning the client in a supine position
The Correct Answer is C
Explanation: When a client is experiencing an anaphylactic reaction, ensuring airway patency is the nurse's first priority. Airway obstruction due to swelling or bronchospasm can rapidly lead to respiratory distress and hypoxia. Assessing airway patency allows the nurse to determine the severity of the situation and initiate appropriate interventions.
A) Administering epinephrine
Epinephrine is a critical medication for treating anaphylaxis, but the nurse must first ensure airway patency before administering any medication. The administration of epinephrine would follow the assessment and confirmation of airway patency.
B) Calling for emergency assistance
While calling for emergency assistance is essential in managing anaphylactic reactions, it should not take precedence over assessing airway patency. The nurse must first assess the client's immediate condition and initiate interventions to secure the airway.
D) Positioning the client in a supine position
Positioning the client in a supine position may be appropriate in some situations, but it is not the first priority when managing an anaphylactic reaction. Airway assessment and intervention should be the initial focus to address potential airway obstruction.
A nurse is providing education to a client about self-management of allergic reactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
No explanation
Correct Answer is C
Explanation
Explanation: When a client is experiencing an anaphylactic reaction, ensuring airway patency is the nurse's first priority. Airway obstruction due to swelling or bronchospasm can rapidly lead to respiratory distress and hypoxia. Assessing airway patency allows the nurse to determine the severity of the situation and initiate appropriate interventions.
A) Administering epinephrine
Epinephrine is a critical medication for treating anaphylaxis, but the nurse must first ensure airway patency before administering any medication. The administration of epinephrine would follow the assessment and confirmation of airway patency.
B) Calling for emergency assistance
While calling for emergency assistance is essential in managing anaphylactic reactions, it should not take precedence over assessing airway patency. The nurse must first assess the client's immediate condition and initiate interventions to secure the airway.
D) Positioning the client in a supine position
Positioning the client in a supine position may be appropriate in some situations, but it is not the first priority when managing an anaphylactic reaction. Airway assessment and intervention should be the initial focus to address potential airway obstruction.
A nurse is providing education to a client about self-management of allergic reactions.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.