Which assessment information is most important for the nurse to obtain when evaluating whether treatment of a patient with anaphylactic reaction has been effective?

Blood Pressure

Oxygen Saturation.

Heart Rate.

Orientation.

Answer and Explanation

The Correct Answer is A

Anaphylaxis is a severe and potentially life-threatening allergic reaction that can lead to a rapid drop in blood pressure, known as hypotension. This drop in blood pressure is a critical indicator of the severity of the reaction and the effectiveness of the treatment provided. The nurse needs to monitor the patient's blood pressure closely to ensure it stabilizes and returns to a safe range.

While oxygen saturation, heart rate, and orientation are also important parameters to assess, they are secondary to blood pressure in evaluating the effectiveness of treatment for anaphylaxis. Oxygen saturation can help determine the adequacy of oxygenation, heart rate can indicate the presence of tachycardia (which may be a sign of an ongoing reaction or hypoperfusion), and orientation can provide information about the patient's mental status and potential complications.

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Correct Answer is ["250"]

Explanation

To calculate the rate at which the nurse should set the IV pump in mL/hr, we need to determine the infusion rate.

The client is receiving 1 gram of antibiotic in 500 ml of fluid over 2 hours. To find the rate in mL/hr, we divide the total volume (500 ml) by the total time (2 hours):

Rate = Volume / Time Rate = 500 ml / 2 hours Rate = 250 ml/hr

Therefore, the nurse should set the IV pump at a rate of 250 mL/hr.

A. "Have additional receptors in the colon that prevents transfer of the disease to others” B. "Do not have blood pressures within normal limits when the small bowel encounters salt products." C. "Have an increased risk of aspiration with the additional mucus produced in the small bowel” D. "Do not have proper absorption of nutrients when the small bowel encounters the protein gluten.”

Correct Answer is D

Explanation

Celiac disease is an autoimmune disorder characterized by an abnormal immune response to gluten, a protein found in wheat, barley, and rye. When individuals with celiac disease consume gluten, their immune system reacts by damaging the lining of the small intestine, specifically the villi. The damaged villi are unable to effectively absorb nutrients from food, leading to malabsorption and a variety of symptoms.

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Which assessment information is most important for the nurse to obtain when evaluating whether treatment of a patient with anaphylactic reaction has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is to receive an antibiotic 1 gram in 500 ml of fluid intravenously over 2 hours. At what rate will the nurse set the IV pump in mL/hr.? (Answer as whole number)

Correct Answer is ["250"]

Explanation

A student nurse correctly explains the pathophysiology of celiac when it is stated that patients who have celiac disease:

Correct Answer is D

Explanation

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