After receiving a factor VIII concentrate, a patient with hemophilia becomes short of breath, wheezes bilaterally, and shows swelling in the face. The nurse suspects ______________ and should administer _______________
a. allergic reaction; diphenhydramine (Benadryl)
b. human albumin; IV fluids
c. anaphylaxis; epinephrine (Adrenaline)
d. exacerbation of asthma; norepinephrine
C
The patient clearly displays signs and symptoms of anaphylaxis, and epinephrine is indicated for an anaphylactic reaction.
Factor VIII concentrates can cause allergic reactions, which can range from mild to severe. Symptoms of a mild reaction include hives, rash, urticaria, stuffy nose, and fever, and these can be managed with an antihistamine (eg, Benadryl). However, this is not a mild reaction.
Human albumin is not indicated in this situation.
Nothing indicates that the patient has a history of asthma, therefore norepinephrine is not re-quired in this situation.
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Insert >, <, or = to make a true statement: 
________ 
.
Fill in the blank(s) with the appropriate word(s).
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