A patient is being given penicillin via intravenous infusion and develops signs and symptoms of an anaphylactic reaction. Which of the following should be the nurse's FIRST action?
Call the physician
Continue the antibiotic
Turn off the antibiotic
Call for help
The Correct Answer is C
A. Call the physician: This can be done after immediate life-saving interventions are performed.
B. Continue the antibiotic: Continuing the infusion will worsen the reaction.
C. Turn off the antibiotic: Stopping the source of the allergen is the immediate priority to halt the progression of the reaction.
D. Call for help: While assistance is important, turning off the infusion takes precedence.
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Related Questions
Correct Answer is D
Explanation
A. "You will need to continue on dialysis": A successful kidney transplant should eliminate the need for dialysis, though dialysis may be required temporarily if the transplanted kidney takes time to function.
B. "You will need to be on antibiotics for the rest of your life": Routine long-term antibiotic therapy is not required, although prophylactic antibiotics may be prescribed initially.
C. "You don't need to worry about organ rejection, it never happens": Organ rejection is always a concern, and immunosuppressive therapy is necessary to prevent it.
D. "You will need to be on immunosuppression drugs for the rest of your life": Lifelong immunosuppressive therapy is essential to prevent the immune system from rejecting the transplanted organ.
Correct Answer is B
Explanation
Histamine release: Histamine release is characteristic of Type I hypersensitivity reactions (immediate hypersensitivity) rather than Type IV.
T-lymphocyte memory cells: Type IV hypersensitivity is a delayed response mediated by T-lymphocytes, not antibodies.
Immunosuppression: Immunosuppression is not directly related to hypersensitivity reactions.
Antigen/antibody interaction: This is characteristic of Types I, II, and III hypersensitivity reactions, not Type IV.
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