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 B

Explanation

A. Diazepam can cause side effects, especially drowsiness, even with a single dose.
B. One of the common side effects of diazepam is drowsiness, and the client should be advised not to operate heavy machinery or engage in activities requiring alertness until the effects are known.
C. Avoiding foods that contain tyramine is more relevant for certain antidepressant medications, not diazepam.
D. Grapefruit juice is known to interact with certain medications, but it does not inactivate diazepam.

A. Dry the prosthesis socket completely before applying it to the limb. B. Apply a moisturizing lotion or oil to the stump daily. C. Keep the prosthesis in direct contact with the residual limb. D. Expect some skin irritation from the prosthesis.

Correct Answer is A

Explanation

A. Ensuring the prosthesis socket is dry helps prevent skin irritation, discomfort, and the potential for infection.
B. Applying moisturizing lotion or oil can make the skin too slippery, affecting the fit and function of the prosthesis.
C. The prosthesis should not be in direct contact with the residual limb; a liner or sock is typically worn.
D. Skin irritation should be minimized, and any persistent issues should be addressed with the prosthetist. Expecting irritation as a norm is not appropriate.

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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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