The nurse is reviewing orders for a patient in anaphylactic shock.

Which medications should the nurse plan to administer first?

Epinephrine (Adrenaline).

Dexamethasone (Decadron).

0.9% Normal Saline.

Dobutamine (Dobutrex).

Answer and Explanation

The Correct Answer is A

Choice A rationale
Epinephrine is the first-line treatment for anaphylactic shock. It works by constricting blood vessels to increase blood pressure, relaxing smooth muscles in the lungs to reduce wheezing and improve breathing, stimulating the heart, and reducing hives and swelling around the face and lips.
Choice B rationale
Dexamethasone is a corticosteroid that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by reducing inflammation.
Choice C rationale
0.9% Normal Saline is a type of intravenous fluid that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by increasing fluid volume in the body to help maintain blood pressure.
Choice D rationale
Dobutamine is a medication that can be used to treat anaphylactic shock, but it is not the first-line treatment. It works by stimulating the heart muscle to increase cardiac output, which can help maintain blood pressure.

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Correct Answer is A

Explanation

Choice A rationale
The production of black colored sputum in a client with a major burn injury could indicate inhalation injury, which is a serious complication associated with burns. Inhalation injury can lead to respiratory failure, a leading cause of death in patients with burn injuries.
Choice B rationale
While large blistered areas over the chest indicate a significant burn injury, they are not immediately life-threatening. These areas will require wound care and monitoring for infection.
Choice C rationale
Edema at the burn site is a common response to burn injuries. It is caused by an increase in capillary permeability following the injury. While it needs to be monitored, it is not the highest priority.
Choice D rationale
Decreased sensation over the burn areas could indicate a deep partial-thickness or full-thickness burn. While this is a serious condition that will require treatment, it is not as immediately life-threatening as an inhalation injury.

A. Reports pain at burn site B. Hands are edematous C. Burned area has a foul odor D. Temperature is 99.8 degrees Fahrenheit .

Correct Answer is C

Explanation

Choice A rationale
While pain at the burn site can be a symptom of many conditions, it is not a specific indicator of a local infection in the burned area.
Choice B rationale
Edematous hands can be a sign of many conditions, including burns, but they are not a specific indicator of a local infection in the burned area.
Choice C rationale
A foul odor from the burned area is a strong indicator of a local infection. Bacteria and other microorganisms that cause infections can produce waste products that have a foul smell.
Choice D rationale
A temperature of 99.8 degrees Fahrenheit is within the normal body temperature range and is not a specific indicator of a local infection in the burned area.

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The nurse is reviewing orders for a patient in anaphylactic shock. Which medications should the nurse plan to administer first?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with a major burn injury. Which of the following findings should the nurse prioritize?

Correct Answer is A

Explanation

When caring for a patient with burns, which assessment data will alert the nurse to the possibility of a local infection of the burned area?

Correct Answer is C

Explanation

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The nurse is reviewing orders for a patient in anaphylactic shock.

Which medications should the nurse plan to administer first?