After an influenza immunization, the patient complains of shortness of breath, breaks out in hives, and begins to twitch. What should the nurse initially give?
a. Epinephrine by injection
b. O2 by mask at 5 L/min
c. Corticosteroid by injection
d. Bronchodilators per nebulization
A
Epinephrine is the initial line of defense to reverse anaphylaxis, followed by high-flow oxygen, bronchodilators, and corticosteroid injection as necessary.
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A patient who is being administered isoniazid (INH) for tuberculosis has a yellow color in the sclera of the eye. What other finding would lead you to believe that hepatotoxicity has developed?
A) Diarrhea B) Numbness C) Diminished vision D) Clay-colored stools
The nurse is preparing summary reports to provide during change of shift report. This type of report should include:
a. changes in condition. b. client address and next of kin. c. medication allergies. d. recent vital signs.
A 33-year-old patient with a T4 spinal cord injury asks the nurse whether he will be able to be sexually active. Which initial response by the nurse is best?
a. Reflex erections frequently occur, but orgasm may not be possible. b. Sildenafil (Viagra) is used by many patients with spinal cord injury. c. Multiple options are available to maintain sexuality after spinal cord injury. d. Penile injection, prostheses, or vacuum suction devices are possible options.
A nurse is gathering subjective data from a client who is seeking a prescription for an oral contraceptive. To identify risk factors associated with the use of an oral contraceptive, which question should the nurse ask?
A. "Are you dieting?" B. "Do you smoke cigarettes?" C. "Do you engage in strenuous exercise such as jogging?" D. "Do you normally have menstrual cramps with your periods?"