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 C
Explanation
Choice A rationale: Disorientation and hallucinations are not common side effects of fluoxetine. These symptoms may indicate other issues and should be reported to the healthcare provider.
Choice B rationale: Sexual side effects, including a potential decrease in interest in sex, are known side effects of fluoxetine. The statement suggesting enhanced interest is not accurate.
Choice C rationale: Fluoxetine, like other selective serotonin reuptake inhibitors (SSRIs), may take 3 to 4 weeks or even longer for the full therapeutic effect to be achieved.
Choice D rationale: Abruptly stopping fluoxetine is not recommended and can lead to withdrawal symptoms. The medication should be tapered under the guidance of a healthcare provider.
Correct Answer is A
Explanation
Choice A rationale: Propofol is formulated in a lipid emulsion that can increase the serum triglyceride levels and cause pancreatitis, especially in patients with preexisting hyperlipidemia.
Choice B rationale: History of hyperlipidemia is not typically associated with an increased risk of adverse effects with propofol infusion.
Choice C rationale: History of breast cancer is not directly associated with an increased risk of adverse effects with propofol infusion.
Choice D rationale: History of arthritis is not directly associated with an increased risk of adverse effects with propofol infusion.
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