A patient is experiencing anaphylaxis after receiving an antibiotic. Which interventions should the nurse prioritize to address this condition?
(Select All that Apply.)
Administer epinephrine intramuscularly
Start intravenous access for fluid resuscitation.
Provide supplemental oxygen to the patient.
Administer corticosteroids immediately.
Place the patient in a supine position with legs elevated.
Administer oral antihistamines.
Ensure the patient has a patent airway.
Encourage oral fluid intake to counteract hypotension.
Monitor the patient's skin for rashes.
Correct Answer : A,B,C,G
A. Administering epinephrine intramuscularly is the first-line treatment for anaphylaxis, as it counteracts the effects of histamine and reduces swelling.
B. Starting intravenous access allows for fluid resuscitation and the administration of medications like epinephrine or corticosteroids.
C. Providing supplemental oxygen is necessary to support the patient's breathing and improve oxygenation during an anaphylactic reaction.
D. Corticosteroids may be used later to reduce inflammation, but they are not first-line treatments for anaphylaxis.
E. Placing the patient in a supine position with legs elevated may be helpful for circulation, but it is not the priority over administering epinephrine.
F. Oral antihistamines are not effective in the acute management of anaphylaxis, which requires immediate action.
G. Ensuring the patient's airway is patent is the top priority, as airway compromise can occur rapidly during anaphylaxis.
H. Encouraging oral fluid intake is not appropriate in this emergency situation, as intravenous fluids are needed.
I. Monitoring the patient's skin for rashes is important but secondary to managing the airway and circulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Using mouthwash may reduce tartar and plaque, but it does not address the severe risks associated with tobacco use, such as oral cancer.
B. The 5-year survival rate for oral cancer is low, but it is not specifically tied to the year 2020 and should be emphasized in a broader context.
C. Brushing and flossing are essential for oral health, but they do not directly relate to cardiovascular disease prevention.
D. Tobacco use can significantly increase the risk of caries, tooth loss, and other oral health problems, negatively affecting the client's quality of life.
Correct Answer is D
Explanation
A. Sunbathing is not a significant factor that worsens MS symptoms. In fact, moderate exposure to sunlight may benefit people with MS by helping them get Vitamin D, which is believed to have protective effects.
B. Flying is not a common factor that exacerbates MS symptoms. However, the change in pressure can sometimes be uncomfortable for individuals with MS, but it doesn't typically worsen the condition.
C. Working in an office is not a factor known to worsen MS symptoms. The environment of an office typically does not contribute to symptom exacerbation, though stress or lack of mobility can have an indirect impact.
D. High altitude travel can worsen MS symptoms for some individuals. The decreased oxygen levels and low pressure at high altitudes can lead to increased fatigue, shortness of breath, or dizziness, which may exacerbate MS-related symptoms.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.