A nurse is preparing to administer epinephrine to a client who is experiencing anaphylaxis after a bee sting. The nurse should administer the medication by which of the following routes?

Intramuscular

Subcutaneous

Intravenous

Oral

Answer and Explanation

The Correct Answer is A

Intramuscular injection is the preferred route for administering epinephrine in anaphylaxis because it provides rapid absorption and onset of action.

B is incorrect because subcutaneous injection has a slower absorption rate than intramuscular injection and may not provide adequate relief in an emergency situation.

C is incorrect because intravenous injection of epinephrine can cause severe adverse effects such as cardiac arrhythmias and hypertension and should be reserved for life-threatening situations when other routes are ineffective.

D is incorrect because oral administration of epinephrine is ineffective due to extensive first-pass metabolism in the liver.

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Correct Answer is C

Explanation

Answer: C. Intravenous injection is the fastest route for administering diphenhydramine in a severe allergic reaction because it provides immediate onset of action and avoids the first-pass metabolism in the liver.

A and B are incorrect because intramuscular and subcutaneous injections have slower absorption rates than intravenous injection and may not provide adequate relief in an emergency situation.

D is incorrect because oral administration of diphenhydramine has the slowest absorption rate and onset of action and is subject to first-pass metabolism in the liver.

A. Inject the medication into the deltoid muscle. B. Hold the device at a 90-degree angle to the thigh. C. Massage the injection site for 10 minutes after administration. D. Repeat the injection after 5 minutes if symptoms persist.

Correct Answer is B

Explanation

Holding the device at a 90-degree angle to the thigh ensures proper penetration and delivery of the medication into the vastus lateralis muscle.

A is incorrect because injecting the medication into the deltoid muscle may not provide adequate absorption and onset of action.

C is incorrect because massaging the injection site may increase the risk of bleeding and bruising and may decrease the absorption of the medication.

D is incorrect because repeating the injection after 5 minutes may cause overdose and adverse effects such as hypertension, tachycardia, arrhythmias, and myocardial ischemia.

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A nurse is preparing to administer epinephrine to a client who is experiencing anaphylaxis after a bee sting. The nurse should administer the medication by which of the following routes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a severe allergic reaction to a medication and requires immediate administration of diphenhydramine. The nurse should administer the medication by which of the following routes?

Correct Answer is C

Explanation

A nurse is teaching a client who has a history of anaphylaxis about the use of an epinephrine auto-injector. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer epinephrine to a client who is experiencing anaphylaxis after a bee sting. The nurse should administer the medication by which of the following routes?

A client who is receiving a blood transfusion develops a fever, chills, headache, and back pain. The nurse should suspect that the client is experiencing which of the following types of transfusion reactions?

A client who is receiving intravenous amphotericin B for a fungal infection reports feeling dizzy and having chills and fever. The nurse should recognize that these manifestations indicate which of the following adverse reactions?

A nurse is reviewing the medication list of a client who has a history of allergic reactions to penicillin and sulfa drugs. The nurse should identify that which of the following medications is contraindicated for this client?