What is the nurse's priority action when a patient shows signs of anaphylaxis after receiving a medication?
Administer antihistamines immediately.
Discontinue the medication immediately.
Notify the health care provider after completing the medication administration.
Document the reaction in the patient's medical record.
The Correct Answer is B
A. Administer antihistamines immediately: While antihistamines can help manage mild allergic reactions, they are not sufficient for severe or life-threatening anaphylaxis. Immediate discontinuation of the offending medication and emergency interventions are the priority.
B. Discontinue the medication immediately: Stopping the causative medication is the first and most critical action to prevent further exposure and worsening of the anaphylactic reaction. This action is essential to patient safety and must be done before other interventions.
C. Notify the health care provider after completing the medication administration: Waiting to notify the provider after completing administration would delay emergency treatment and put the patient at serious risk of harm.
D. Document the reaction in the patient's medical record: Documentation is important for ongoing care and future medication safety, but it is not the immediate priority during an active anaphylactic reaction.
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Related Questions
Correct Answer is B
Explanation
A. Administering insulin without verifying the patient's blood glucose level: Skipping blood glucose verification increases the risk of hypoglycemia or hyperglycemia, compromising patient safety.
B. Double-checking the insulin dose with another nurse before administration: Independent verification by a second licensed nurse helps ensure the correct dose, type, and timing of insulin, reducing the risk of potentially harmful dosing errors.
C. Using the same needle for multiple insulin injections in the same patient: Reusing needles increases the risk of infection and tissue damage and does not promote safe administration practices.
D. Allowing the patient to self-administer without supervision: While patient independence is important, supervision is necessary to confirm correct technique and dosage, especially for high-alert medications like insulin.
Correct Answer is A
Explanation
A. Move the decimal point three places to the right: Converting grams to milligrams requires multiplying by 1,000 because 1 gram = 1,000 milligrams. Moving the decimal three places to the right converts 2.5 g to 2,500 mg accurately.
B. Move the decimal point two places to the right: Moving the decimal only two places would convert 2.5 g to 250 mg, which is ten times less than the correct amount, leading to underdosing.
C. Move the decimal point three places to the left: Moving the decimal left would convert 2.5 g to 0.0025 mg, which is drastically smaller than the intended dose, risking ineffective treatment.
D. Move the decimal point two places to the left: This would convert 2.5 g to 0.025 mg, which is far below the correct dose and would result in severe underdosing.
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