A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. While an airway is being established, what medication should the nurse prepare for immediate administration?

a. Diphenhydramine (Benadryl) c. Epinephrine
b. Dopamine d. Calcium chloride


ANS: C
After the first priority of establishing an airway, epinephrine is the drug of choice. Benadryl is not a strong enough antihistamine for this severe a reaction. Dopamine and calcium chloride are not appropriate drugs for this type of reaction.

Nursing

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During an assessment, the nurse uses the profile sign to detect:

a. Pitting edema. b. Early clubbing. c. Symmetry of the fingers. d. Insufficient capillary refill.

Nursing

The nurse notices that a female client has a dark, even tan. When asked, the client says, "I spend several hours a week working on my tan. The men in my family have always liked their women tanned

" What should the nurse consider before responding? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. It will be difficult to convince this client that sun exposure can be detrimental to skin health. 2. The women in this client's family are likely subservient to men. 3. This client is likely to discount the nurse's attempts at educating in regard to sun exposure. 4. There is no reason to spend time trying to teach this client about the adverse effects of sun exposure. 5. The nurse should focus on trying to educate the woman to keep her daughters out of the sun.

Nursing

A client comes to the clinic reporting pain and itching from blisters on both arms. This finding indicates an abnormality in which layer of the skin?

a. Adipose tissue b. Dermis c. Epidermis d. Stratum corneum

Nursing

The nurse observes that the parent of a teenaged client is experiencing a high level of anxiety. Which communication technique would be most helpful in dealing with this parent?

A) Exploring B) Open-ended questions C) Closed-ended questions D) Encouraging reflection

Nursing