A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

Albuterol

Hydrocortisone sodium succinate

Diphenhydramine

Epinephrine

Answer and Explanation

The Correct Answer is D

A.   The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B.   Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C.   Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D.   Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.

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Correct Answer is D

Explanation

A. Scheduling important tasks in the afternoon is a good strategy for managing fatigue, it does not directly address pain relief.
B. Performing range-of-motion if joints are red may exacerbate inflammation and is not a recommended practice.
C. Stopping exercising if experiencing discomfort is essential to differentiate between normal discomfort and pain that may indicate potential harm. Continuing with mild discomfort may be appropriate.
D. Both heat and cold applications can provide relief from rheumatoid arthritis pain and inflammation.

A. Nausea and vomiting B. Generalized edema C. Bradycardia D. Urticaria

Correct Answer is B

Explanation

A. Common allergic reactions but not specific to anaphylaxis.
B. Can be a sign of anaphylaxis, reflecting a systemic allergic response.
C. Anaphylaxis is more commonly associated with tachycardia.
D. Hives are a common allergic reaction and can occur in anaphylaxis, but they are not specific to it.

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A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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