A patient presents to the emergency department with edema of the glottis, bronchoconstriction, and a blood pressure of 82/38. Friends state that the reaction was a result of an insect sting. Which drug should the nurse prepare to administer?

a. Ephedrine
b. Diphenhydramine (Benadryl)
c. Dopamine
d. Epinephrine (Adrenaline)


ANS: D
Epinephrine is the drug of choice for anaphylaxis.
Ephedrine is not a drug of choice in an anaphylaxis situation.
Diphenhydramine is an antihistamine and is indicated for minor allergic reactions, not evident in this patient, who is symptomatic of anaphylaxis.
Dopamine, which can be used to bring blood pressure up, would not reverse the signs and symptoms of anaphylaxis.

Nursing

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The patient's temperature has reached 103.4° F. The nurse prepares to draw a blood culture before giving the patient an antipyretic medication. What is the best reason to draw a blood culture before giving an antipyretic medication?

a. The causative organism is most prevalent during a spike in temperature. b. Elevated temperatures slow metabolic rate and improve blood oxygenation. c. Increased blood flow leads to moist mucous membranes making blood draws easier. d. Venous distention is greater because of fluid retention secondary to hyperthermia.

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Neuroleptic medication accomplishes which of the following?

a. cures schizophrenia b. controls positive symptoms of schizophrenia c. totally eliminates negative symptoms of schizophrenia d. returns the client to the workplace

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Education to prevent health problems in children is

1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 4. Assessment

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The nurse explains to a client in labor that the fetal heart rate baseline is 150, with accelerations to 165, variable decelerations to 140, and moderate long-term variability

Which statement about the most important part of fetal heart monitoring indicates that the client understands the nurse's teaching? 1. "Presence of variability" 2. "Depth of decelerations" 3. "Fetal heart rate baseline" 4. "Absence of variable decelerations"

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