What is the initial therapy of choice for the treatment of anaphylactic shock?

Epinephrine.

Rapid infusion of normal saline.

Dobutamine.

Norepinephrine.

Answer and Explanation

The Correct Answer is A

Choice A reason: Epinephrine. Epinephrine is the first-line treatment for anaphylactic shock. It rapidly reverses severe allergic reactions by reducing swelling, increasing blood pressure, and improving breathing.

Choice B reason: Rapid infusion of normal saline. While fluid resuscitation is important in managing anaphylactic shock, it is not the initial therapy of choice. Epinephrine should be administered first to counteract the allergic reaction.

Choice C reason: Dobutamine. Dobutamine is used to support cardiac function in certain types of shock but is not the first-line treatment for anaphylactic shock.

Choice D reason: Norepinephrine. Norepinephrine is a vasopressor used to treat severe hypotension and shock but is not the initial treatment for anaphylactic shock. Epinephrine is preferred to address the allergic reaction.

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Correct Answer is B

Explanation

Choice A reason: Cyanosis. Cyanosis, or a bluish tint to the skin, indicates significant hypoxemia or poor oxygenation. While it can occur in severe anaphylaxis, it is not a primary integumentary manifestation.

Choice B reason: Urticaria. Urticaria, or hives, is a common integumentary manifestation of anaphylactic shock. It appears as raised, red, itchy welts on the skin due to an allergic reaction.

Choice C reason: Petechiae. Petechiae are small, pinpoint hemorrhages under the skin and are not typically associated with anaphylactic shock. They are more related to conditions involving bleeding or clotting disorders.

Choice D reason: Ecchymosis. Ecchymosis, or bruising, is not a characteristic manifestation of anaphylactic shock. It is more related to trauma or bleeding disorders.

A. Cool, moist skin. B. Increased bowel sounds. C. Restlessness. D. Increased respiratory rate. E. Decreased blood glucose.

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Cool, moist skin. Cool, moist skin is an early sign of shock as the body redirects blood flow away from the skin to vital organs. This is part of the body's compensatory mechanisms to maintain perfusion.

Choice B reason: Increased bowel sounds. Bowel sounds typically decrease during shock due to reduced blood flow to the gastrointestinal tract. Increased bowel sounds would not be expected.

Choice C reason: Restlessness. Restlessness is an early sign of shock indicating reduced oxygen delivery to the brain. The body responds by becoming more alert and anxious, reflecting increased sympathetic nervous system activity.

Choice D reason: Increased respiratory rate. An increased respiratory rate is a compensatory mechanism to improve oxygenation and reduce carbon dioxide levels in the blood. This is common in the early stages of shock.

Choice E reason: Decreased blood glucose. Blood glucose levels are generally not an immediate indicator in the early stages of shock. The body's stress response can actually increase blood glucose levels initially.

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What is the initial therapy of choice for the treatment of anaphylactic shock?

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Naxlex Comprehensive Predictor Exams

What is an integumentary manifestation of anaphylactic shock?

Correct Answer is B

Explanation

Which assessment findings indicate to the nurse that a client is exhibiting early clinical manifestations of the compensatory stage of shock? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

The pathophysiology of shock is best described as:

The nurse is caring for a patient who is the victim of a traumatic motor vehicle accident. Vital signs are: T-98.8 oral, P-140, B/P-86/52, R-28, pulse oximetry-92% on room air. The nurse would suspect which type of shock?

The nurse understands that which hemodynamic parameters are consistent with hypovolemic shock? Decreased cardiac output and:

In a state of shock, the body attempts to maintain homeostasis by maintaining priority blood flow to the:

During the initial stage of shock, which manifestation should the nurse monitor for when assessing the client?

What is the initial therapy of choice for the treatment of anaphylactic shock?

The nurse is caring for a patient recovering from surgery. What action should the nurse perform to prevent the onset of hypovolemic shock?

The nurse caring for a client in the early stages of hypovolemic shock who is hyperventilating. The nurse monitors for which acid-base imbalance based on this clinical presentation?