A patient is having an anaphylactic reaction to an intravenous (IV) antibacterial drug. Which action does the nurse perform first?
a. Discontinue the IV therapy immediately and place the patient in shock position.
b. Hold the next dose and notify the prescriber immediately.
c. Discontinue the IV therapy and restart it at a different site.
d. Discontinue the drug and maintain the IV access.
D
When a patient is having an anaphylactic reaction to an IV drug, the first priority is to prevent any more drug from entering the patient. Stop the drug from infusing but keep the IV access open. If the drug is infusing high into the IV tubing, change the tubing after stopping the drug, and do not let any drug left in the tubing run into the patient. Starting a new IV line may be dif-ficult or impossible during the hypotension that occurs during anaphylaxis.
You might also like to view...
A nurse uses effective strategies to communicate and handle conflict with nurses and other health care professionals. Which Quality and Safety Education for Nurses (QSEN) competency is the nurse demonstrating?
a. Informatics b. Quality improvement c. Teamwork and collaboration d. Evidence-based practice
When measuring a client's pulse rate, the nurse records 125 bpm. How will the nurse document the information in the medical records?
A) Bradycardia B) Tachycardia C) Slow pulse rate D) Heart palpitations
The fetal concentration of glucose is lower than the glucose level in the maternal blood because of the rapid metabolism by the fetus
Indicate whether the statement is true or false
A hospitalized patient with a C7 cord injury asks, "Why can't I feel my legs anymore?" Which is the most appropriate action by the nurse?
1. Remind the patient of her injury and try to comfort her. 2. Call the health care provider and get an order for radiologic evaluation. 3. Prepare the patient for surgery, as her condition is worsening. 4. Explain to the patient that this could be a common, temporary problem.