After an intramuscular injection of penicillin, a patient develops severe difficulty breathing and a swollen tongue. Which medication should the nurse prepare to administer?
Dopamine
Epinephrine
Norepinephrine
Pseudoephedrine
The Correct Answer is B
Choice A rationale: Dopamine is not the appropriate medication for an allergic reaction. It is a neurotransmitter and is not used in the treatment of anaphylaxis.
Choice B rationale: Epinephrine is the first-line treatment for anaphylaxis, including severe difficulty breathing and swelling of the tongue. It acts quickly to reverse the symptoms of an allergic reaction.
Choice C rationale: Norepinephrine is not the medication of choice for an allergic reaction. It primarily acts as a vasoconstrictor and is used in conditions like septic shock.
Choice D rationale: Pseudoephedrine is a decongestant and is not the appropriate medication for treating an allergic reaction with respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: A blood pressure reading of 130/80 mmHg is within the normal range and would not be a priority to report.
Choice B rationale: Expiratory wheezing is a potential adverse effect of propranolol, especially in patients with a history of asthma or other respiratory conditions. It should be reported promptly to the provider.
Choice C rationale: Hunger and thirst are not typically associated with adverse effects of propranolol.
Choice D rationale: A pulse of 98 beats/min is within the normal range and would not be a priority to report.
Correct Answer is B
Explanation
Choice A rationale: Dry mouth is a known side effect of clonidine, and denying this information would be inaccurate.
Choice B rationale: Providing strategies to alleviate the side effect, such as offering hard candy or gum, is a proactive approach to managing the dry mouth without discontinuing the medication.
Choice C rationale: Stopping antihypertensive medication abruptly can lead to rebound hypertension, and the nurse should not encourage discontinuation without consulting the healthcare provider.
Choice D rationale: Adjusting the dose of clonidine should be done under the guidance of a healthcare provider; self-adjustment without professional input is not advisable.
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