A nurse is caring for a client with an allergic skin condition. The client develops wheezing, a swollen tongue, and hives. Which of the following is the nursing priority?
Assessing the client's neurologic status
Consulting an allergy specialist
Administering epinephrine
Determining the cause of the hives
The Correct Answer is C
Administering epinephrine is the immediate priority when managing anaphylaxis. Epinephrine is the first-line treatment for anaphylaxis as it helps to rapidly reverse severe allergic symptoms, such as airway constriction, swelling, and hypotension.
A. While assessing the client's neurologic status is important for monitoring their overall condition, it may not be the immediate priority when the client is experiencing symptoms of an allergic reaction, particularly anaphylaxis.
B. While consulting an allergy specialist may be necessary for further evaluation and management of the client's allergic condition, it is not the immediate priority.
D. While determining the cause of the hives is important for identifying the allergen and preventing future allergic reactions, it is not the immediate priority during an acute episode of anaphylaxis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Explicit bias refers to the conscious and deliberate prejudiced attitudes or beliefs that individuals hold toward others based on factors such as race, ethnicity, gender, or other characteristics.
B. Implicit bias, on the other hand, involves unconscious attitudes or stereotypes that individuals hold toward others, even when they are unaware of these biases. These biases can influence thoughts, feelings, and behaviors, often without conscious awareness.
C. Color discrimination specifically refers to discriminatory treatment based on an individual's skin color or race.
D. Stereotyping involves the generalization of characteristics, traits, or behaviors to a particular group of people. While stereotyping is often influenced by bias, it may not always be unconscious.
Correct Answer is ["B","D"]
Explanation
B. Assessing the client's reliability as a historian involves gathering information about their medical history, symptoms, and health behaviors. While this is an important aspect of client assessment, it may not be immediately necessary right before performing the physical exam.
D. Constructing the client's family genogram is an important aspect of assessing their family history, which may be relevant to their current health condition. However, this task is not immediately necessary right before performing the physical exam and can be completed at a later time during the assessment process.
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