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. Type AB blood is the universal plasma donor but is not typically used for packed red blood cell transfusions.
B. Type O negative (O-) is the universal donor for packed red blood cells and can be administered to patients of any blood type in an emergency.
C. Type A blood is not universally compatible and should be matched for the ABO system.
D. Type B blood is not universally compatible and should be matched for the ABO system.

Correct Answer is ["25"]
Explanation
To answer this question, you need to use the formula:
gtt/min = (Volume x Drop factor) / Time
Plug in the given values:
gtt/min = (100 mL x 15 gtt/mL) / 60 min
Simplify and solve:
gtt/min = 1500 gtt / 60 min gtt/min = 25 gtt/min
Therefore, the nurse should set the manual IV infusion to deliver 25 gtt/min.
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