A nurse in the emergency department is caring for a school-age child who has developed respiratory stridor, wheezing and urticaria after receiving an IV medication.
Which of the following actions should the nurse take first?

swer and explanation

Administer oxygen

Administer a nebulized bronchodilator

Administer epinephrine

Answer and Explanation

The Correct Answer is D

Choice A rationale

Administering methylprednisolone, a corticosteroid, can help reduce inflammation. However, it is not the first-line treatment for severe anaphylaxis.

Choice B rationale

Administering oxygen can help improve the child’s oxygenation, but it is not the first action the nurse should take in this situation.

Choice C rationale

Administering a nebulized bronchodilator can help relieve wheezing, but it is not the first action the nurse should take in this situation.

Choice D rationale

Administering epinephrine is the first-line treatment for anaphylaxis. It works quickly to improve breathing, stimulate the heart, raise a dropping blood pressure, and reduce swelling of the face, lips, and throat.

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Correct Answer is A

Explanation

The correct answer is A. Antibiotics initiated 24 hr ago.

Explanation:

Children with bacterial meningitis require droplet precautions to prevent the spread of infection. These precautions can typically be discontinued after 24 hours of effective antibiotic therapy, as the risk of transmission significantly decreases.

Why the other options are incorrect:

B. Negative cerebrospinal fluid (CSF) culture – While a negative CSF culture confirms the absence of bacteria, cultures may take several days to process. Droplet precautions are usually lifted based on treatment duration, not pending lab results.
C. Absent nuchal rigidity – Nuchal rigidity (stiff neck) is a symptom of meningitis, but its resolution does not determine infectious risk.
D. Temperature below 37.4°C (99.4°F) – Fever reduction is a sign of improvement but does not indicate that the infection is no longer transmissible.

A. Increased respiratory rate B. capillary refill of 2 seconds C. Hypertension D. increased urine output .

Correct Answer is A

Explanation

The correct answer is Choice A. An increased respiratory rate is a sign of severe dehydration in infants. Dehydration occurs when an infant loses so much body fluid that they are not able to maintain ordinary function.

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A nurse in the emergency department is caring for a school-age child who has developed respiratory stridor, wheezing and urticaria after receiving an IV medication.Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Explanation:

Why the other options are incorrect:

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Correct Answer is A

Explanation

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A nurse in the emergency department is caring for a school-age child who has developed respiratory stridor, wheezing and urticaria after receiving an IV medication.
Which of the following actions should the nurse take first?