A pediatric patient presents to the emergency department with complaints of shortness of breath, increased work of breathing, and a cough. The patient is alert and oriented at times 3, skin is pink, warm and dry. BP 112/68, T99, P106, RR 32. pulse oximetry 90% on room air. Assessment of the lung sounds reveals diminished lung sounds throughout all lung fields. The patient has a past medical history of peanut allergy. The mother tells you that they were at a birthday party and after consumption of a cupcake, the symptoms started. The nurse anticipates that which of the following medications will likely be ordered for this patient?

Cetirizine (Zyrtec)

Diphenhydramine (Benadryl)

Guaifenesin

Epinephrine

Answer and Explanation

The Correct Answer is D

A. Cetirizine (Zyrtec): Cetirizine is an antihistamine used to treat mild allergic reactions, such as seasonal allergies or mild hives. It is not the treatment of choice for severe allergic reactions like anaphylaxis, which this patient may be experiencing given the symptoms and history of peanut allergy.
B. Diphenhydramine (Benadryl): Diphenhydramine is an antihistamine that can be used for mild to moderate allergic reactions, including urticaria and mild anaphylaxis. While it may be part of anaphylactic treatment, it is not the primary treatment for severe symptoms like difficulty breathing.
C. Guaifenesin: Guaifenesin is an expectorant used to relieve chest congestion and make coughs more productive. It is not appropriate for treating allergic reactions or respiratory distress related to anaphylaxis.
D. Epinephrine: Epinephrine is the first-line treatment for anaphylaxis, which is a severe and potentially life-threatening allergic reaction. It works by rapidly reducing airway swelling, improving breathing, and stabilizing blood pressure. Given the patient's symptoms and history of peanut allergy, epinephrine is the most appropriate medication.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is {"dropdown-group-1":"D"}

Explanation

The intravenous (IV) route delivers medication directly into the bloodstream, allowing for rapid distribution to the site of action.

A. Take with at least two full glasses of water B. Increase food intake C. Decrease water intake D. Exercise more than three times a week

Correct Answer is A

Explanation

A. Take with at least two full glasses of water : This is the correct answer. Bulk-forming laxatives require adequate fluid intake to swell in the intestine, forming a gel-like substance that aids in stool formation and bowel movement. Without sufficient water, they can cause or worsen constipation.
B. Increase food intake: This is not specific to the administration of bulk-forming laxatives and may not directly address the proper use of the medication.
C. Decrease water intake: This is incorrect and potentially harmful, as inadequate water intake can lead to impaction or obstruction when taking bulk-forming laxatives.
D. Exercise more than three times a week: While regular exercise is beneficial for bowel health, this instruction does not directly relate to the specific needs of taking bulk-forming laxatives.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The dropdown route of administration quickly delivers medication directly to their sites of action.

Correct Answer is {"dropdown-group-1":"D"}

Explanation

Which instruction is most appropriate for a client who is receiving a bulk-forming laxative?

Correct Answer is A

Explanation

Decongestants should be used with caution in patients with which diagnoses? (Select All that Apply.)

A patient, newly diagnosed with a peptic ulcer, needs more education when he states:

Gas exchange occurs in which of the following structures?

A client has been diagnosed with allergic rhinitis. Which symptoms would the nurse expect to observe? Select all that apply)

A client has been taking an opioid for pain relief following abdominal surgery. The client complains of constipation. Which statements indicate understanding by the client? (Select All that Apply.)

A nurse is caring for an older adult client who has cancer and is receiving opioids for pain relief. The client has a new prescription for docusate PO daily. When collecting data from the client, which of the following therapeutic effects of docusate should the nurse expect?

A nurse is preparing to administer fluoxetine 10 mg PO to an older adult client. Available is fluoxetine oral solution 20 mg/5 mL. How many ml should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is preparing to administer ondansetron (Zofran) to a client. For which of the following adverse effects of ondansetron should the nurse monitor? (Select All that Apply)