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 ["A","B","E"]
Explanation
A. Pernicious anemia: An autoimmune condition where antibodies target intrinsic factor or parietal cells, impairing vitamin B12 absorption.
B. Diabetes Mellitus Type 1: Autoimmune destruction of pancreatic beta cells leads to insulin deficiency.
C. Stroke: A stroke is a cardiovascular event, not an autoimmune disorder.
D. Diabetes Type 2: Type 2 diabetes is primarily related to insulin resistance rather than autoimmune processes.
E. Systemic Lupus Erythematosus: A chronic autoimmune disorder that affects multiple systems, including the skin, kidneys, and joints.
Correct Answer is A
Explanation
A. Perform hand hygiene before and after care: Hand hygiene is the most effective way to prevent infection transmission.
B. Implement neutropenic precautions: This is important but comes after basic infection control measures.
C. Move the client to a positive-airflow room: Positive airflow rooms are used for highly immunocompromised clients but are not the first action.
D. Ensure all visitors wear masks: This is a precautionary measure but secondary to hand hygiene.
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