The nurse knows that the priority for a patient experiencing a severe allergic reaction is which of the following?
Education on Epi-pen
Maintaining airway
Emotional support
Treat urticaria
The Correct Answer is B
A. Education on Epi-pen: While education is important, it is not a priority during a severe allergic reaction.
B. Maintaining airway: Airway compromise is the primary concern during a severe allergic reaction due to potential bronchospasm and swelling.
C. Emotional support: Providing emotional support is important but secondary to maintaining the airway.
D. Treat urticaria: Managing skin symptoms like hives (urticaria) is not the top priority when airway obstruction is a risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "You will need to continue on dialysis": A successful kidney transplant should eliminate the need for dialysis, though dialysis may be required temporarily if the transplanted kidney takes time to function.
B. "You will need to be on antibiotics for the rest of your life": Routine long-term antibiotic therapy is not required, although prophylactic antibiotics may be prescribed initially.
C. "You don't need to worry about organ rejection, it never happens": Organ rejection is always a concern, and immunosuppressive therapy is necessary to prevent it.
D. "You will need to be on immunosuppression drugs for the rest of your life": Lifelong immunosuppressive therapy is essential to prevent the immune system from rejecting the transplanted organ.
Correct Answer is A
Explanation
Request that the surgeon prescribe a different antibiotic: Cephalexin is a cephalosporin, and there is a risk of cross-reactivity in clients with a history of anaphylaxis to penicillin.
Ask the provider to prescribe diphenhydramine as a precaution: While antihistamines may alleviate mild allergic reactions, they are not a substitute for avoiding high-risk medications in clients with anaphylaxis history.
Confirm with the client that the reaction he had was truly anaphylaxis: The client's medical record already documents anaphylaxis, which should be taken seriously without further questioning.
Administer the medication: This action disregards the client's history of anaphylaxis to a related drug class.
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