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 D
Explanation
A. Pallor: Pallor refers to paleness of the skin and is not typically associated with an allergic reaction to penicillin G IM.
B. Dyspepsia: Dyspepsia refers to indigestion or discomfort in the upper abdomen and is not typically associated with an allergic reaction to penicillin G IM.
C. Bradycardia: Bradycardia refers to a slow heart rate and is not typically associated with an allergic reaction to penicillin G IM.
D. Urticaria: Urticaria, commonly known as hives, is a characteristic manifestation of an allergic reaction to penicillin G IM. It presents as raised, red, itchy welts on the skin.
Correct Answer is D
Explanation
A. Verapamil: Verapamil is a calcium channel blocker primarily used to treat supraventricular
tachycardias, not ventricular dysrhythmias. It is not typically used for life-threatening ventricular dysrhythmias.
B. Digoxin: Digoxin is a cardiac glycoside used primarily for atrial fibrillation and heart failure, not ventricular dysrhythmias. It is not typically used for life-threatening ventricular
dysrhythmias.
C. Dopamine: Dopamine is a sympathomimetic medication used for hemodynamic support in hypotension and shock. While it may be used in some cases of unstable bradycardia, it is not the first-line medication for life-threatening ventricular dysrhythmias.
D. Amiodarone: Amiodarone is an antiarrhythmic medication used for the treatment of various ventricular and supraventricular dysrhythmias, including life-threatening ventricular
dysrhythmias such as ventricular tachycardia and ventricular fibrillation. It is often used as a first-line medication for these conditions due to its efficacy and safety profile. Therefore, the nurse should anticipate administering amiodarone for the client's life-threatening ventricular dysrhythmia.
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