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 C

Explanation

A. SLE causes painful urination: Painful urination is not a typical symptom of SLE.
B. SLE resolves with several months of antiviral treatment: SLE is a chronic autoimmune condition, not caused by a virus.
C. SLE affects the connective tissue of the body: SLE primarily involves inflammation of connective tissue, including skin, joints, and organs.
D. SLE leads to progressive muscle weakness: Muscle weakness is not the primary feature of SLE but may occur in polymyositis.

A. Iritis B. Spinal deformity C. Facial rash D. Thickened skin

Correct Answer is C

Explanation

Iritis: This is associated more with autoimmune conditions like ankylosing spondylitis rather than SLE.
Spinal deformity is not a typical feature of SLE. Spinal deformities are more commonly seen in conditions like rheumatoid arthritis.
Facial rash: The characteristic "butterfly" rash over the cheeks and nose is a hallmark finding in SLE.
Thickened skin: SLE typically presents with skin lesions or rashes rather than skin thickening.

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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

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