A nurse is reviewing orders for a patient in anaphylactic shock. Which medication should the nurse plan to administer first?
Glucose Dextrose Oral (GDO)
Epinephrine (Adrenaline)
Dexamethasone (Decadron)
0.9% Normal Saline
The Correct Answer is B
Choice A reason: Glucose Dextrose Oral (GDO) is not typically used in the immediate management of anaphylactic shock. Anaphylaxis requires rapid treatment to address severe allergic reactions and GDO does not play a role in this emergency situation.
Choice B reason: Epinephrine (Adrenaline) is the first-line treatment for anaphylactic shock. It works quickly to improve breathing, stimulate the heart, raise a dropping blood pressure, reverse hives, and reduce swelling of the face, lips, and throat.
Choice C reason: Dexamethasone (Decadron) is a corticosteroid that may be used in the treatment of anaphylaxis to reduce inflammation. However, it is not the first medication administered due to its slower onset of action compared to epinephrine.
Choice D reason: 0.9% Normal Saline is used for intravenous fluid resuscitation in anaphylactic shock but is secondary to the administration of epinephrine. It helps to maintain blood pressure and is important in the overall management but not the first medication given.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The fluctuation of fluid in the water-seal chamber does not necessarily mean that the lung is fully re-expanded. The water-seal chamber's fluid level fluctuates with the client's breathing because it reflects the changes in intrathoracic pressure.
Choice B reason: The statement "Your breathing pattern causes this" is correct. The fluctuation, also known as tidaling, in the water-seal chamber is normal and occurs in response to the client's breathing. When the client inhales, negative pressure in the chest cavity causes the fluid level to rise, and when the client exhales, the pressure becomes positive, causing the fluid level to fall.
Choice C reason: Suction pressure that is too high can cause continuous bubbling in the suction control chamber but does not directly cause the fluid in the water-seal chamber to rise and fall. The suction control chamber's bubbling should be steady and gentle when the suction is set correctly.
Choice D reason: Continuous bubbling in the water-seal chamber may indicate an air leak, which is a problem that needs to be addressed. However, normal fluctuation with breathing is not indicative of an air leak.
Correct Answer is B
Explanation
Choice A reason : While eating fresh fruits and vegetables is generally healthy, it does not specifically indicate an understanding of AIDS-related teaching. Some fruits and vegetables need to be carefully handled to avoid potential infections.
Choice B reason : Wearing gloves and washing hands after changing a cat's litter box is correct as it helps prevent the transmission of infections, such as toxoplasmosis, which can be particularly harmful to individuals with AIDS.
Choice C reason : Taking clothes to the dry cleaners for sterilization is unnecessary and does not reflect an understanding of AIDS-related precautions.
Choice D reason : Wiping up areas soiled with body fluids with alcohol and disposing of the trash is a good practice for infection control, but it is not as directly related to the client's understanding of AIDS-specific precautions as choice b.
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