A nurse is teaching a client who has a prescription for an epinephrine auto-injector. The nurse should instruct the client to take which of the following actions first?
Hold the injector in place for 10 seconds.
Massage the outer thigh for 10 seconds.
Seek immediate medical attention.
Jab the device into the outer thigh.
The Correct Answer is D
A. Hold the injector in place for 10 seconds: Holding the injector in place after administering epinephrine is not the first action the client should take. After administering epinephrine, the client should immediately seek emergency medical attention.
B. Massage the outer thigh for 10 seconds: Massaging the outer thigh is not the first action the client should take after administering epinephrine. Seeking emergency medical attention is the priority.
C. Seek immediate medical attention: After administering epinephrine for an anaphylactic reaction, the client should immediately seek emergency medical attention to receive further evaluation and treatment. Epinephrine provides temporary relief of symptoms but does not replace the need for medical evaluation and ongoing management.
D. Jab the device into the outer thigh. The client should use the epinephrine auto-injector as soon as possible after experiencing an anaphylactic reaction. The device delivers a dose of
epinephrine, which constricts blood vessels and relaxes the airways, to reverse the symptoms of anaphylaxis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["19"]
Explanation
Drip rate (gtt/min) = (Volume to be infused in mL × Drop factor) ÷ Time of infusion in minutes
Given:
Volume to be infused = 350 mL Drop factor = 10 gtt/mL
Time of infusion = 3 hours = 180 minutes
Plugging these values into the formula:
Drip rate = (350 mL × 10 gtt/mL) ÷ 180 min Drip rate ≈ (3500 gtt) ÷ 180 min
Drip rate ≈ 19.4 gtt/min
Rounding to the nearest whole number, the drip rate is approximately 19 gtt/min. Therefore, the nurse should set the manual IV infusion to deliver 19 gtt/min.
Correct Answer is ["500"]
Explanation
To calculate the dose of erythromycin per administration, you can follow these steps:
- Determine the total daily dose: 2 g.
- Divide the total daily dose by the number of equally divided doses per day: 2 g / 4 doses =
0.5 g per dose.
- Convert grams to milligrams: 0.5 g * 1000 mg/g = 500 mg.
So, the nurse should administer 500 mg of erythromycin per dose.
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