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 ["0.5"]

Explanation

To answer this question, the nurse needs to use the formula D/H x Q = X, where D is the desired dose, H is the dose on hand, Q is the quantity of the dose form, and X is the amount to administer. In this case, D is 25 mg, H is 50 mg, Q is 1 tablet, and X is unknown. Plugging these values into the formula, we get:

25/50 x 1 = X

0.5 x 1 = X

X = 0.5

A. DIC is a genetic disorder involving vitamin K deficiency. B. DIC is characterized by an elevated platelet count. C. DIC is controllable with lifelong heparin usage. D. DIC is caused by abnormal coagulation involving fibrinogen.

Correct Answer is D

Explanation

A. DIC is not a genetic disorder but is often secondary to other conditions.
B. In DIC, platelet count decreases rather than increases.
C. While heparin may be used in the treatment of DIC, it is not a lifelong therapy, and its use depends on the specific clinical situation.
D. DIC involves abnormal coagulation, with consumption of clotting factors and fibrinogen, leading to both bleeding and thrombosis.

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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

Correct Answer is ["0.5"]

Explanation

A nurse is assisting with the care of a client who has septic shock and is at risk for disseminated intravascular coagulation (DIC). Which of the following nursing statements indicates an understanding of the condition?

Correct Answer is D

Explanation

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