The correct nursing intervention for anaphylaxis would be
a. assess respiratory status, including dyspnea.
b. hypertension and elevated albumin levels.
c. assess skin status, including erythema, urticaria, cyanosis, and pallor.
d. assess GI status, including nausea, vomiting, diarrhea, incontinence.
A
Anaphylaxis—If moderate to severe signs and symptoms occur, IV therapy may be initiated to prevent vascular collapse and the patient may be intubated to prevent airway obstruction. Nursing interventions and patient teaching—Assess respiratory status, including dyspnea, wheezing, and decreased breath sounds.
You might also like to view...
The school nurse is evaluating the number of school-age children classified as obese. The
nurse recognizes that the percentile of body mass index that classifies a child as obese is greater than which? a. 50th percentile b. 75th percentile c. 80th percentile d. 95th percentile
Antimicrobial agents that inhibit growth of bacteria, allowing the host's immunological defenses to complete the job of destroying the organism, are called:
a. bactericidal. c. antibiotics. b. bacteriostatic. d. infectious.
The nurse needs to instruct the client using an infusion pump for insulin administration about complications of this therapy including:
a. hyperglycemia. c. lipodystrophy. b. infection at the injection site. d. hypoglycemia.
Under Ada Sue Hinshaw, the National Institute of Nursing Research (NINR) began to change its focus to
a. funding nursing rather than medical research. b. evaluating outcomes rather than process studies. c. increasing the status and funding for nursing research. d. supporting the dissemination of nursing research.