The nurse knows that the priority for a patient experiencing a severe allergic reaction is which of the following?

Education on Epi-pen

Maintaining airway

Emotional support

Treat urticaria

Answer and Explanation

The Correct Answer is B

A.   Education on Epi-pen: While education is important, it is not a priority during a severe allergic reaction.
B.   Maintaining airway: Airway compromise is the primary concern during a severe allergic reaction due to potential bronchospasm and swelling.
C.   Emotional support: Providing emotional support is important but secondary to maintaining the airway.
D.   Treat urticaria: Managing skin symptoms like hives (urticaria) is not the top priority when airway obstruction is a risk.

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Correct Answer is C

Explanation

A. Urticaria: While hives indicate an allergic reaction, they are less immediately life-threatening than respiratory symptoms.
B. Pulse rate 104/min: Mild tachycardia may be a sign of a systemic response but is not the priority concern.
C. Wheezing: Wheezing indicates airway compromise, a hallmark of anaphylaxis, and requires immediate intervention.
D. BP 98/62: This blood pressure is on the lower side but not critical without other symptoms.

A. There is formation of antigen- antibody complexes leading to inflammation B. Production of immunoglobulin E antibodies occurs C. It is a chronic progressive inflammatory disease of the spine and large limb joints D. Autoantibodies lyse red blood cells

Correct Answer is C

Explanation

A. There is formation of antigen-antibody complexes leading to inflammation: This describes immune complex-mediated conditions like lupus.
B. Production of immunoglobulin E antibodies occurs: This is associated with Type I hypersensitivity reactions, such as allergies.
C. It is a chronic progressive inflammatory disease of the spine and large limb joints: Ankylosing spondylitis is an autoimmune disorder characterized by inflammation of the axial skeleton.
D. Autoantibodies lyse red blood cells: This describes autoimmune hemolytic anemia, not ankylosing spondylitis.

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The nurse knows that the priority for a patient experiencing a severe allergic reaction is which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who just received a dose of IV ampicillin. Which of the following client reactions requires priority intervention by the nurse?

Correct Answer is C

Explanation

The nurse is caring for a patient who asks what ankylosing spondylitis is. Which of the following responses from the nurse is most appropriate?

Correct Answer is C

Explanation

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