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A patient is experiencing anaphylaxis after receiving an antibiotic. Which interventions should the nurse prioritize to address this condition?
(Select All that Apply.)

Administer epinephrine intramuscularly

Start intravenous access for fluid resuscitation.

Provide supplemental oxygen to the patient.

Administer corticosteroids immediately.

Place the patient in a supine position with legs elevated.

Administer oral antihistamines.

Ensure the patient has a patent airway.

Encourage oral fluid intake to counteract hypotension.

Monitor the patient's skin for rashes.

Answer and Explanation

Correct Answer : A,B,C,G

A.   Administering epinephrine intramuscularly is the first-line treatment for anaphylaxis, as it counteracts the effects of histamine and reduces swelling.
B.   Starting intravenous access allows for fluid resuscitation and the administration of medications like epinephrine or corticosteroids.
C.   Providing supplemental oxygen is necessary to support the patient's breathing and improve oxygenation during an anaphylactic reaction.
D.   Corticosteroids may be used later to reduce inflammation, but they are not first-line treatments for anaphylaxis.
E.   Placing the patient in a supine position with legs elevated may be helpful for circulation, but it is not the priority over administering epinephrine.

F.   Oral antihistamines are not effective in the acute management of anaphylaxis, which requires immediate action.
G.   Ensuring the patient's airway is patent is the top priority, as airway compromise can occur rapidly during anaphylaxis.
H.   Encouraging oral fluid intake is not appropriate in this emergency situation, as intravenous fluids are needed.
I.   Monitoring the patient's skin for rashes is important but secondary to managing the airway and circulation.

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Correct Answer is C

Explanation

A. Dyspnea (difficulty breathing) is not typically associated with GERD. GERD is primarily characterized by symptoms related to the digestive system.
B. Dysesthesia refers to abnormal sensations, such as tingling or burning, and is not typically related to GERD symptoms.
C. Dyspepsia, or indigestion, is a common manifestation of GERD. It includes symptoms like heartburn, regurgitation, and discomfort in the upper abdomen.
D. Dysarthria, which refers to difficulty speaking, is not a common symptom of GERD and is more related to neurological conditions.

A. Position the patient supine during feeding to enhance comfort. B. Monitor gastric residual volumes regularly. C. Administer all feedings rapidly to decrease procedure time. D. Use sterile gloves when handling the feeding tube. E. Flush the tube with water before and after medication administration. F. Elevate the head of the bed to at least 30 degrees during feeding. G. Verify tube placement before starting the feeding.

Correct Answer is ["B","E","F","G"]

Explanation

A. Positioning the patient supine can increase the risk of aspiration and should be avoided during feeding. The head of the bed should be elevated instead.
B. Monitoring gastric residual volumes is important to assess the tolerance of the feeding and prevent aspiration.
C. Feedings should be given slowly to avoid complications like gastric distention, not rapidly.
D. Using sterile gloves when handling a feeding tube is not necessary unless there is a risk for infection, but clean gloves are generally adequate.
E. Flushing the tube with water before and after medication administration helps to maintain patency and prevent clogging.
F. The head of the bed should be elevated at least 30 degrees during feeding to reduce the risk of aspiration.
G. Verifying tube placement before starting the feeding ensures that the feeding is going into the stomach and not the lungs.

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A patient is experiencing anaphylaxis after receiving an antibiotic. Which interventions should the nurse prioritize to address this condition? (Select All that Apply.)

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A patient is experiencing anaphylaxis after receiving an antibiotic. Which interventions should the nurse prioritize to address this condition?
(Select All that Apply.)