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?
Inject the medication into the deltoid muscle.
Hold the device at a 90-degree angle to the thigh.
Massage the injection site for 10 minutes after administration.
Repeat the injection after 5 minutes if symptoms persist.
The Correct Answer is B
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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Related Questions
Correct Answer is B
Explanation
B. Febrile transfusion reaction is a common type of transfusion reaction that occurs when the recipient's antibodies react with the donor's leukocytes and cause fever, chills, headache, and malaise.
A is incorrect because hemolytic transfusion reaction is a rare but serious type of transfusion reaction that occurs when the recipient's antibodies react with the donor's erythrocytes and cause hemolysis, hemoglobinuria, hypotension, tachycardia, and renal failure.
C is incorrect because allergic transfusion reaction is a type of transfusion reaction that occurs when the recipient's antibodies react with the donor's plasma proteins and cause urticaria, pruritus, angioedema, and anaphylaxis.
D is incorrect because circulatory overload is a type of transfusion complication that occurs when the infusion rate exceeds the recipient's cardiac output and causes dyspnea, orthopnea, crackles, tachycardia, hypertension, and pulmonary edema.
Correct Answer is A
Explanation
Answer: A. Cefazolin is a cephalosporin antibiotic that has a cross-sensitivity with penicillin and should be avoided by clients who are allergic to penicillin.
B is incorrect because ciprofloxacin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.
C is incorrect because vancomycin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.
D is incorrect because Azithromycin does not have cross-sensitivity with penicillin or sulfa drugs and can be safely administered to this client.
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