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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Urticaria: While hives indicate an allergic reaction, they are less immediately life-threatening than respiratory symptoms.
B. Pulse rate 104/min: Mild tachycardia may be a sign of a systemic response but is not the priority concern.
C. Wheezing: Wheezing indicates airway compromise, a hallmark of anaphylaxis, and requires immediate intervention.
D. BP 98/62: This blood pressure is on the lower side but not critical without other symptoms.

A. "You need to stay on antibiotics for the rest of your life." B. "You should avoid people that are sick to decrease the risk of you getting an infection." C. "You need to stay on antihistamines the rest of your life." D. "You can drink as much alcohol as you want."

Correct Answer is B

Explanation

A. "You need to stay on antibiotics for the rest of your life."Lifelong antibiotic therapy is not standard post-transplant care, though immunosuppressants are required.
B. "You should avoid people that are sick to decrease the risk of you getting an infection." Immunosuppressive medications used post-transplant increase the risk of infections.
C. "You need to stay on antihistamines the rest of your life."Antihistamines are not a routine part of post-transplant care.
D. "You can drink as much alcohol as you want."Alcohol should be strictly avoided to protect the transplanted liver.

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The nurse knows that the priority for a patient experiencing a severe allergic reaction is which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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