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

Answer and Explanation

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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Correct Answer is ["A","D","E"]

Explanation

A. Hypotension: A rapid drop in blood pressure is a hallmark symptom of anaphylaxis.
B. Bradycardia: Bradycardia is not a common finding in anaphylaxis. Tachycardia (rapid heart rate) is more typical due to compensatory mechanisms.
C. Hypertension: Anaphylaxis usually causes hypotension due to vascular leakage and vasodilation.
D. Tachycardia: Tachycardia is commonly seen in anaphylaxis as the heart attempts to compensate for the drop in blood pressure.
E. Wheezing: Wheezing is a sign of bronchospasm and respiratory distress, which is a common feature of anaphylaxis.

A. "You will need to continue on dialysis." B. "You will need to be on antibiotics for the rest of your life." C. "You don't need to worry about organ rejection, it never happens." D. "You will need to be on immunosuppression drugs for the rest of your life."

Correct Answer is D

Explanation

A. "You will need to continue on dialysis": A successful kidney transplant should eliminate the need for dialysis, though dialysis may be required temporarily if the transplanted kidney takes time to function.
B. "You will need to be on antibiotics for the rest of your life": Routine long-term antibiotic therapy is not required, although prophylactic antibiotics may be prescribed initially.
C. "You don't need to worry about organ rejection, it never happens": Organ rejection is always a concern, and immunosuppressive therapy is necessary to prevent it.
D. "You will need to be on immunosuppression drugs for the rest of your life": Lifelong immunosuppressive therapy is essential to prevent the immune system from rejecting the transplanted organ.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows the following are symptoms of anaphylaxis and they need to intervene quickly. (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

The nurse is educating a post operative kidney transplant patient. Which of the following statements should the nurse include in their teaching?

Correct Answer is D

Explanation

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