A patient presents to the emergency department with edema of the glottis, bronchoconstriction, and a blood pressure of 82/38 . Friends state that the reaction was a result of an insect sting. Which drug should the nurse prepare to administer?
a. Ephedrine
b. Diphenhydramine (Benadryl)
c. Dopamine
d. Epinephrine (Adrenaline)
D
Epinephrine is the drug of choice for anaphylaxis.
Ephedrine is not a drug of choice in an anaphylaxis situation.
Diphenhydramine is an antihistamine and is indicated for minor allergic reactions, not evident in this patient, who is symptomatic of anaphylaxis.
Dopamine, which can be used to bring blood pressure up, would not reverse the signs and symp-toms of anaphylaxis.
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The nurse assists the physician to perform a circumcision using a Plastibell. When the procedure is completed, the nurse's priority action is to:
1. Apply petroleum jelly to a 2X2 dressing and place it on the penis. 2. Wash the penis thoroughly before diapering. 3. Place the infant in the bassinet without a diaper for two hours. 4. Diaper the infant and take him to his mother for comfort.
The nurse is preparing to examine a male patient's reproductive organs. What should the nurse do in preparation for this examination?
Select all that apply. 1. secure a private examination room 2. use clean hands for the examination 3. ask the patient to lie down on the exam table 4. ask the patient to empty his bladder 5. make sure the room temperature is cool
The client's spouse is verbalizing feelings of guilt and asks the cause of the client's mental illness. What is the nurse's correct response?
A) "Mental illness is the result of a brain disorder.". B) "No one really knows the cause of mental illness.". C) "Why do you think the mental illness occurred?" D) "Sometimes people just let their problems make themselves sick.".
At 35 weeks' gestation, a patient experiences preterm labor. Tocolytics are administered and the patient is on bed rest at home. What should the nurse teach this patient?
A) Assess pulse daily and if over 100 call the health care provider B) Fetal kick counts should be 10 per hour, call if under 3 are felt C) A nonstress test will be done to evaluate late decelerations D) Sexual intercourse can be resumed when the contractions stop for two days