A nurse is teaching a client who has a severe peanut allergy about how to use an epinephrine auto-injector in case of anaphylaxis. Which of the following instructions should the nurse include in the teaching?

"Inject the epinephrine into your thigh muscle and hold it for 10 seconds."

"Inject the epinephrine into your upper arm muscle and hold it for 5 seconds."

"Inject the epinephrine into your abdomen and hold it for 15 seconds."

"Inject the epinephrine into your buttock and hold it for 20 seconds."

Answer and Explanation

The Correct Answer is A

Answer: A. Inject the epinephrine into your thigh muscle and hold it for 10 seconds. This is the correct answer because the thigh muscle is the preferred site for administering epinephrine in case of anaphylaxis. The thigh muscle has a large blood supply and can absorb the medication quickly. The nurse should instruct the client to inject the epinephrine into the middle of the outer thigh, at a 90-degree angle, and hold it for 10 seconds to ensure that the full dose is delivered.

B) Inject the epinephrine into your upper arm muscle and hold it for 5 seconds. This is an incorrect answer because the upper arm muscle is not a recommended site for administering epinephrine in case of anaphylaxis. The upper arm muscle has a smaller blood supply and may not absorb the medication as quickly as the thigh muscle. The nurse should instruct the client to inject the epinephrine into the thigh muscle instead.

C) Inject the epinephrine into your abdomen and hold it for 15 seconds. This is an incorrect answer because the abdomen is not a recommended site for administering epinephrine in case of anaphylaxis. The abdomen has more fat tissue and may not absorb the medication as quickly as the thigh muscle. The nurse should instruct the client to inject the epinephrine into the thigh muscle instead.

D) Inject the epinephrine into your buttock and hold it for 20 seconds. This is an incorrect answer because the buttock is not a recommended site for administering epinephrine in case of anaphylaxis. The buttock has more fat tissue and may not absorb the medication as quickly as the thigh muscle. The nurse should instruct

the client to inject the epinephrine into the thigh muscle instead.

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Correct Answer is A

Explanation

Explanation: Carrying an epinephrine auto-injector is a crucial self-management strategy for individuals with known allergies. In case of an allergic reaction, epinephrine can be administered promptly to counteract severe symptoms and potentially prevent anaphylaxis. This response demonstrates the client's understanding of the importance of being prepared to manage allergic reactions.

A) "I will avoid all potential allergens to prevent any reaction."

While avoiding known allergens is an essential aspect of managing allergies, it is often challenging to avoid all potential allergens. Some allergens may be difficult to identify or encounter unexpectedly. Carrying an epinephrine auto-injector provides a more comprehensive approach to self-management.

C) "I will take antihistamine medication every day to prevent reactions."

Antihistamines are primarily used for relieving symptoms of allergic reactions, such as itching or congestion, rather than preventing reactions. Taking antihistamines every day is not the recommended approach for preventing allergic reactions.

D) "I will self-administer corticosteroid injections during allergic reactions."

Corticosteroid injections are generally administered by healthcare professionals and are not intended for self-administration during allergic reactions. Corticosteroids may be part of the treatment plan for severe allergic reactions but are typically prescribed and administered under medical supervision.

A. "Cefazolin is a different type of antibiotic than penicillin, so you will not have an allergic reaction to it." B. "Cefazolin is a synthetic version of penicillin, so it does not contain any of the allergens that cause your reaction." C. Cefazolin is a similar type of antibiotic to penicillin, but it has a lower risk of causing an allergic reaction than penicillin. This is the correct answer because cefazolin belongs to the same class of antibiotics as penicillin, which are called beta-lactams. However, cefazolin is a first-generation cephalosporin, which has less cross-reactivity with penicillin than other cephalosporins. This means that clients who are allergic to penicillin have a lower chance of having an allergic reaction to cefazolin than to other beta-lactam antibiotics. The nurse should explain this to the client and monitor them for any signs of an allergic reaction. D. "Cefazolin is a newer type of antibiotic than penicillin, so it has fewer side effects and less potential for causing an allergic reaction."

Correct Answer is C

Explanation

Answer: C. Cefazolin is a similar type of antibiotic to penicillin, but it has a lower risk of causing an allergic reaction than penicillin. This is the correct answer because cefazolin belongs to the same class of antibiotics as penicillin, which are called beta-lactams. However, cefazolin is a first-generation cephalosporin, which has less cross-reactivity with penicillin than other cephalosporins. This means that clients who are allergic to penicillin have a lower chance of having an allergic reaction to cefazolin than to other beta-lactam antibiotics. The nurse should explain this to the client and monitor them for any signs of an allergic reaction.

A) "Cefazolin is a different type of antibiotic than penicillin, so you will not have an allergic reaction to it." This is an incorrect answer because cefazolin is not a different type of antibiotic than penicillin; they both belong to

the beta-lactam class of antibiotics. Therefore, there is still a possibility that the client could have an allergic reaction to cefazolin if they are allergic to penicillin.

B) "Cefazolin is a synthetic version of penicillin, so it does not contain any of the allergens that cause your reaction." This is an incorrect answer because cefazolin is not a synthetic version of penicillin; they are both derived from natural sources. Therefore, cefazolin could still contain some of the allergens that cause the client's reaction to penicillin.

D) "Cefazolin is a newer type of antibiotic than penicillin, so it has fewer side effects and less potential for causing an allergic reaction." This is an incorrect answer because cefazolin is not a newer type of antibiotic than penicillin; they were both discovered in the 1940s. Therefore, the age of the antibiotic does not determine its side effects or potential for causing an allergic reaction.

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A nurse is teaching a client who has a severe peanut allergy about how to use an epinephrine auto-injector in case of anaphylaxis. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

Which of the following statements by the client indicates understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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A nurse is teaching a client who has a severe peanut allergy about how to use an epinephrine auto-injector in case of anaphylaxis. Which of the following instructions should the nurse include in the teaching?