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. An infectious disease: Autoimmune diseases are not caused by pathogens.
B. A disease that only affects the elderly: Autoimmune diseases can affect people of any age.
C. A disease in which the body attacks itself: Autoimmune diseases occur when the immune system mistakenly targets its own tissues.
D. A hereditary disease: While some autoimmune diseases may have genetic components, this is not the defining characteristic.

A. This medication prevents the formation of RH antibodies in a newborn who is Rh-positive. B. This medication prevents the formation of Rh antibodies by a woman who is Rh-negative. C. This medication destroys Rh antibodies in a newborn who is Rh-positive. D. This medication destroys Rh antibodies in a woman who is Rh-negative.

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.

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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 that an autoimmune disease is defined as which of the following?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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