The nurse is providing care to a client who is experiencing symptoms of life-threatening shock. Which drug does the nurse anticipate to administer to this client?

1. Corticosteroids
2. Epinephrine
3. Antihistamines
4. Calcium channel blockers


2

Rationale 1: Corticosteroids may be used to treat the symptoms of shock, but they do not work as quickly and with as much effect as epinephrine.
Rationale 2: Epinephrine is a drug of choice for acute anaphylactic shock because it can reverse many of the distressing symptoms within minutes.
Rationale 3: Antihistamines may be used to treat the symptoms of shock, but they do not work as quickly and with as much effect as epinephrine.
Rationale 4:Calcium channel blockers cause vasoconstriction. During shock, blood pressure is low. These drugs would cause the blood pressure to fall more.

Global Rationale: Two primary goals of shock management are to restore normal fluid volume and maintain adequate blood pressure. Epinephrine is a drug of choice for acute shock because it causes vasoconstriction and can rapidly relieve symptoms of bronchoconstriction.

Nursing

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To obtain subjective data related to a 16-year-old client's spirituality, the nurse should:

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A pregnant client is diagnosed with cervical insufficiency. How should the nurse expect this client to explain symptoms of this condition?

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