A patient is being given penicillin via intravenous infusion and develops signs and symptoms of an anaphylactic reaction. Which of the following should be the nurse's FIRST action?
Call the physician
Continue the antibiotic
Turn off the antibiotic
Call for help
The Correct Answer is C
A. Call the physician: This can be done after immediate life-saving interventions are performed.
B. Continue the antibiotic: Continuing the infusion will worsen the reaction.
C. Turn off the antibiotic: Stopping the source of the allergen is the immediate priority to halt the progression of the reaction.
D. Call for help: While assistance is important, turning off the infusion takes precedence.
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Related Questions
Correct Answer is B
Explanation
A. Prevents Rh antibodies in a newborn who is Rh-positive: The medication is not administered to newborns but to Rh-negative mothers.
B. Prevents the formation of Rh antibodies by a woman who is Rh-negative: Rho(D) immune globulin prevents maternal sensitization to Rh-positive fetal blood, avoiding hemolytic disease in future pregnancies.
C. Destroys Rh antibodies in a newborn who is Rh-positive: The goal is prevention in the mother, not antibody destruction in the newborn.
D. Destroys Rh antibodies in a woman who is Rh-negative: Rho(D) immune globulin does not destroy antibodies; it prevents their formation.
Correct Answer is C
Explanation
A. "These organs assist with vitamin absorption."These organs are not involved in nutrient absorption.
B. "These organs are used in digestion." The thymus, spleen, and lymph nodes are not part of the digestive system.
C. "These organs are for immunity." These organs play essential roles in the immune system, including lymphocyte production, pathogen filtration, and immune response regulation.
D. "These organs regulate electrolyte balance." Electrolyte regulation is managed by the kidneys and endocrine system.
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