The nurse is reviewing orders for a patient in anaphylactic shock.

Which medications should the nurse plan to administer first?

Epinephrine (Adrenaline).

Dexamethasone (Decadron).

0.9% Normal Saline.

Dobutamine (Dobutrex).

Answer and Explanation

The Correct Answer is A

Choice A rationale
Epinephrine is the first-line treatment for anaphylactic shock. It works by constricting blood vessels to increase blood pressure, relaxing smooth muscles in the lungs to reduce wheezing and improve breathing, stimulating the heart, and reducing hives and swelling around the face and lips.
Choice B rationale
Dexamethasone is a corticosteroid that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by reducing inflammation.
Choice C rationale
0.9% Normal Saline is a type of intravenous fluid that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by increasing fluid volume in the body to help maintain blood pressure.
Choice D rationale
Dobutamine is a medication that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by stimulating the heart muscle to increase cardiac output, which can help maintain blood pressure.

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Correct Answer is B

Explanation

Choice A rationale
Discussing facility policies with coworkers. While understanding facility policies is important, it does not necessarily contribute to maintaining clinical competence.
Choice B rationale
Attending a professional conference. This is the correct answer. Professional conferences often provide opportunities for continuing education, learning about the latest research and best practices, and networking with other professionals in the field.
Choice C rationale
Joining a nurses’ union. While a union can provide support and advocacy for nurses, joining a union does not directly maintain clinical competence.
Choice D rationale
Removing expired supplies from the storage area. This is an important task for maintaining a safe and effective work environment, but it does not contribute to maintaining clinical competence.

A. Hold tube feeding 1 hour before and 2 hours after to avoid clumping. B. Monitor the patient for lethargy and drowsiness as these may indicate a high drug level. C. Inform the patient that they may experience increased and large amounts of urinary output. D. Advise the patient to use an extra soft toothbrush to avoid gum bleeding.

Correct Answer is B

Explanation

Choice A rationale
Holding tube feeding 1 hour before and 2 hours after to avoid clumping is not a specific nursing intervention when administering Dilantin (phenytoin)1011.
Choice B rationale
Monitoring the patient for lethargy and drowsiness is important as these may indicate a high drug level of Dilantin (phenytoin), which can lead to toxicity.
Choice C rationale
Informing the patient that they may experience increased and large amounts of urinary output is not a specific nursing intervention when administering Dilantin (phenytoin)1011.
Choice D rationale
Advising the patient to use an extra soft toothbrush to avoid gum bleeding is a general recommendation for patients on anticoagulant therapy, not specifically for those taking Dilantin (phenytoin)1011.

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The nurse is reviewing orders for a patient in anaphylactic shock. Which medications should the nurse plan to administer first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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The nurse is reviewing orders for a patient in anaphylactic shock.

Which medications should the nurse plan to administer first?