In reviewing a plan of care for a patient exhibiting the symptoms of anaphylaxis, which of the following medications would be avoided?

Antihistamines

Vasodilators

Corticosteroids

Bronchodilators

Answer and Explanation

The Correct Answer is B

A) Antihistamines:
Antihistamines are commonly used in the treatment of allergic reactions, including anaphylaxis. They work by blocking the effects of histamine, which is released during an allergic reaction, and can help alleviate symptoms such as itching, hives, and nasal congestion. Antihistamines are typically included in the treatment regimen for anaphylaxis but should not be relied upon as the sole treatment.

B) Vasodilators.
Vasodilators are medications that widen blood vessels, leading to a decrease in blood pressure. In the context of anaphylaxis, where blood pressure can drop precipitously due to systemic vasodilation, the use of vasodilators can exacerbate hypotension, potentially worsening the patient's condition. Therefore, vasodilators should be avoided in the management of anaphylaxis.

C) Corticosteroids:
Corticosteroids, such as prednisone or methylprednisolone, are used in the management of anaphylaxis to reduce inflammation and prevent late-phase allergic reactions. They are not typically used as first-line treatment during the acute phase of anaphylaxis but may be administered after initial stabilization to prevent recurrence of symptoms.

D) Bronchodilators:
Bronchodilators, such as albuterol, are used to relieve bronchospasm and improve airflow in conditions such as asthma and chronic obstructive pulmonary disease (COPD). While bronchospasm can occur during anaphylaxis, bronchodilators may still be used to address this symptom. However, they should be used cautiously, and their administration should not delay the administration of epinephrine, which is the primary treatment for anaphylaxis.

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Correct Answer is D

Explanation

A) Montelukast:
Montelukast is a leukotriene receptor antagonist used for the long-term control and prevention of asthma symptoms, but it is not typically used as a rescue medication to abort an ongoing asthma attack. Its onset of action is slower compared to short-acting beta agonists like albuterol.

B) Fluticasone:
Fluticasone is an inhaled corticosteroid medication used for the long-term control and management of asthma symptoms by reducing airway inflammation and preventing asthma exacerbations. It is not used as a rescue medication to abort an ongoing asthma attack but rather as a controller medication to prevent symptoms when used regularly over time.

C) Cromolyn:
Cromolyn is a mast cell stabilizer medication that is used for the prevention of asthma symptoms and exercise-induced bronchospasm. It is not typically used as a rescue medication to abort an ongoing asthma attack but rather as a controller medication to prevent symptoms when used regularly over time.

D) Albuterol.
Albuterol is a short-acting beta agonist bronchodilator commonly used as a rescue or reliever medication for acute asthma symptoms or to abort an ongoing asthma attack. It works quickly to relax the smooth muscles of the airways, leading to rapid bronchodilation and relief of symptoms such as wheezing, shortness of breath, and chest tightness. Albuterol is considered a first-line medication for relieving acute asthma symptoms and should be used as directed by a healthcare provider during an asthma exacerbation.

Correct Answer is ["Antidiarrheals"]

Explanation

Antidiarrheal medications are the most effective drugs for controlling severe diarrhea. These medications work by slowing down bowel movements and reducing the frequency and liquidity of stools. The two main types of antidiarrheal drugs are:

Loperamide: Loperamide is an over-the-counter antidiarrheal medication that works by slowing down the movement of the intestines and reducing the frequency of bowel movements. It is effective for treating acute diarrhea and traveler's diarrhea.

Bismuth subsalicylate: Bismuth subsalicylate is another over-the-counter medication that can help control diarrhea. It works by reducing inflammation in the intestines and slowing down the passage of stools. Bismuth subsalicylate also has antimicrobial properties, which may help in cases of infectious diarrhea.

These medications are often used in combination with rehydration therapy to manage severe diarrhea effectively. However, it is important to use antidiarrheal medications cautiously and under the guidance of a healthcare professional, as they may not be suitable for all individuals, especially those with certain medical conditions or those taking other medications. Additionally, it is essential to address the underlying cause of diarrhea, especially if it persists or worsens despite treatment with antidiarrheal medications. Consulting a healthcare provider is recommended for proper diagnosis and management of severe diarrhea.

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In reviewing a plan of care for a patient exhibiting the symptoms of anaphylaxis, which of the following medications would be avoided?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching to a school-age child who has asthma. Which of the following medications should the nurse instruct the child to use to abort an ongoing attack?

Correct Answer is D

Explanation

. ........................are the most effective drugs for controlling severe diarrhea.

Correct Answer is ["Antidiarrheals"]

Explanation

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