While caring for a patient with angioedema, which nursing action would have the highest priority?
a. Monitor for restlessness.
b. Identify cause of the angioedema.
c. Identify the presence of skin lesions.
d. Teach the patient about immunotherapy.
ANS: A
A. If the angioedema reaction is severe, maintenance of a patent airway is a priority. Any symptoms of respiratory distress must be reported immediately and remain the highest priority. B. Because the condition is already present, monitoring the patient takes priority, although the cause needs to be identified. C and D. These may be addressed later but are not the priority.
You might also like to view...
A practicing nurse explains to a nursing student that which is the most common cause of acute renal failure in children?
A. Congenital renal problems B. Glomerulonephritis C. Hemolytic uremic syndrome D. Tylenol (acetaminophen) overdose
Quantitative researchers focus on concrete concepts, whereas qualitative researchers study abstract constructs
A) True B) False
The nurse is managing children who have chronic diseases in a neighborhood clinic. Which of the following are examples of chronic conditions? Select all answers that apply
A) Diabetes mellitus B) Myocardial infarction C) Rheumatoid arthritis D) Compound fracture E) Acute asthma F) Bronchopneumonia
Which outcome would be most appropriate for a symptom-management group for persons with schizophrenia? Group members will:
a. state the names of their medications. b. resolve conflicts within their families. c. rate anxiety at least two points lower. d. describe ways to cope with their illness.