A patient is demonstrating signs of anaphylactic shock. What should the nurse do first to assist this patient?

1. Administer subcutaneous epinephrine.
2. Maintain an airway.
3. Provide calm reassurance.
4. Place the patient on a cardiac monitor.


Correct Answer: 2

Establishing and maintaining a patent airway is of primary importance when a patient demonstrates anaphylactic shock. After an airway is established, epinephrine may be administered and a cardiac monitor connected. The patient can be reassured after the other interventions have been performed.

Nursing

You might also like to view...

The qualitative nursing research study used three interviewers to collect data. What is the most critical aspect the nurse reading this research would look for when critiquing the way the data in this study was collected?

1. How long were the interviews? 2. Were all of the interviewers nurses? 3. Were all of the interviewers trained? 4. Where did the interviews take place?

Nursing

The nurse is caring for a client during an intraoperative procedure. When assessing vital signs, which result indicates a need to alert the anesthesiologist immediately?

A) Pulse rate of 110 beats/min B) Respiratory rate of 18 breaths/min C) Blood pressure of 104/62 mm Hg D) Temperature of 102.5° F

Nursing

In a social network analysis, each node is usually a(n):

a. individual or unit of analysis. b. event. c. location. d. attitude.

Nursing

The nurse verifies that he is using only standardized abbreviations in documenting medication information. He recognizes that this fulfills which of the National Patient Safety Goals?

a. Improve the accuracy of patient identification. b. Improve the effectiveness of communication among caregivers. c. Improve the safety of using medications. d. Accurately and completely reconcile medications across the continuum of care.

Nursing