What action priority in preventing anaphylactic shock?
Removal of the educating patient to carry an Epipen
Assess and document for previous allergies and drug reactions prior to medication administration
Administer diphenhydramine and solumedrol IV and solumedrol IV at the first sign of allergic symptoms
Application of red allergy bracelet patient's upper extremity
The Correct Answer is B
A. Removal of the educating patient to carry an Epipen
While educating the patient about carrying an Epipen is essential in managing anaphylaxis, it is not the primary action in preventing anaphylactic shock before exposure to an allergen.
B. Assess and document for previous allergies and drug reactions prior to medication administration
Identifying and documenting allergies before administering medications or treatments helps prevent exposure to known allergens, reducing the risk of anaphylaxis.
C. Administer diphenhydramine and solumedrol IV at the first sign of allergic symptoms
These medications help in managing allergic reactions but do not prevent anaphylactic shock. Preventive measures focus on avoiding allergen exposure rather than treating symptoms after they occur.
D. Application of a red allergy bracelet on the patient’s upper extremity
This helps alert healthcare providers about allergies, but it does not prevent anaphylactic shock. It is a precautionary step rather than a primary prevention strategy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Mini mental status exam at admission and discharge
Useful for cognitive function but not for acute changes.
B. Performing serial Glasgow Coma Scale exams
The GCS is the best tool for tracking changes in neurologic status over time.
C. Assessing pupils for reactivity, equality, symmetry, and accommodation
Important but not comprehensive.
D. Obtaining vital signs every four hours
Useful but does not specifically assess neurologic function.
Correct Answer is B
Explanation
A. 20-gauge catheter in the right wrist infusing IV antibiotics
Infusing antibiotics can cause incompatibilities.
B. 20-gauge catheter in the right forearm infusing 0.9% Normal Saline
A 20-gauge or larger catheter in a patent IV site with compatible fluid (NS) is required for PRBC transfusion.
C. 22-gauge catheter in the left forearm infusing 0.45% Normal Saline
A 22-gauge catheter is too small for safe transfusion.
D. 18-gauge infusing 20 mg Potassium Chloride IV
Potassium chloride infusion should not be interrupted, making this site unsuitable.
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