A patient who is anxious and has difficulty breathing seeks treatment after being stung by a wasp. What is the nurse's priority action?
a. Have the patient lie down.
b. Assess the patient's airway.
c. Administer high-flow oxygen.
d. Remove the stinger from the site.
ANS: B
The initial action with any patient with difficulty breathing is to assess and maintain the airway. The other actions also are part of the emergency management protocol for anaphylaxis, but the priority is airway maintenance.
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The nurse is having difficulty inserting a large caliber intravenous catheter to facilitate fluid resuscitation to a hypotensive trauma patient
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Marc is a 5-year-old who has attention deficit hyperactivity disorder. He is taking Ritalin, a stimulant. The nurse should teach Marc's caregiver: (SELECT ALL ANSWERS THAT APPLY)
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