The patient who had an asthma-like reaction to a desensitization shot was medicated with a subcutaneous injection of epinephrine. What effect should the nurse assure the anxious patient this will have?
a. Cause vasodilation
b. Produce bronchodilation
c. Cause productive coughing
d. Reduction of pulse rate
ANS: B
The drug epinephrine is given in the case of anaphylaxis because it is a quick-acting drug that produces bronchodilation and vasoconstriction, which relieves respiratory distress. The drug can be ordered to be repeated every 20 minutes. The patient may experience an increase in heart rate.
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The nurse in a pediatric ICU is caring for a child who is dying of sickle cell anemia. The child's mother has been unable to eat or sleep and can talk only about her impending loss and the guilt she feels about the child's pain and suffering
What intervention has the highest priority? A) Allowing the patient to express her feelings without judging her B) Helping the patient to understand the phases of the grieving process C) Reassuring the patient that the child's death is not her fault D) Arranging for genetic counseling to inform the patient of her chances of having another child with the disease
A client states, "I don't know why it is that I get so sick when I get the flu but my friend never seems to catch it." What is the nurse's best response?
1. "You must have a weaker system than your friend." 2. "Your friend probably takes better care of himself." 3. "The way you respond to illness has a lot to do with genetics as well as your environment." 4. "It has to do with genomics."
A home health nurse has a client with permanent left-sided weakness after a stroke; the client is cared for by his wife and daughter. The nurse will design the plan of care to
a. help the wife manage the home. b. limit input from the wife and daughter. c. reduce the impact of the client's health care beliefs. d. stimulate the client to become independent.
Which is an example of an actual NANDA nursing diagnosis?
a. Risk for Impaired Skin Integrity Related to Inability to Change Positions b. Potential for Enhanced Nutrition c. Fluid Volume Deficient Related to Nausea and Vomiting d. Risk for Infection Related to Indwelling Urinary Catheter