A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?
Albuterol
Hydrocortisone sodium succinate
Diphenhydramine
Epinephrine
The Correct Answer is D
A. The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B. Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C. Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D. Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hypovolemic shock typically results in low blood pressure (BP) and a compensatory increase in pulse rate to maintain cardiac output.
B. Low BP and high pulse rate are characteristic findings in hypovolemic shock, reflecting decreased circulating blood volume.
C. High BP is not a typical finding in hypovolemic shock; the BP tends to decrease due to reduced blood volume.
D. Low BP and low pulse rate are not consistent with the compensatory response seen in hypovolemic shock.
Correct Answer is B
Explanation
A. Diazepam can cause side effects, especially drowsiness, even with a single dose.
B. One of the common side effects of diazepam is drowsiness, and the client should be advised not to operate heavy machinery or engage in activities requiring alertness until the effects are known.
C. Avoiding foods that contain tyramine is more relevant for certain antidepressant medications, not diazepam.
D. Grapefruit juice is known to interact with certain medications, but it does not inactivate diazepam.
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