A patient comes to the emergency department with dyspnea, wheezing, and urticaria over the arms and face after being stung by a bee. The nurse would begin immediate care for this patient because he or she is having a(n)
a. asthma attack.
b. anaphylactic reaction.
c. pulmonary embolism.
d. acute psychotic episode.
B
Fatal reactions are associated with a fall in blood pressure, laryngeal edema, and bronchospasm, leading to cardiovascular collapse, myocardial infarction, and respiratory failure. Early recognition of signs and symptoms and early treatment may prevent severe reactions and even death.
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The child has been admitted to the hospital unit newly diagnosed with retinoblastoma. What would the nurse expect to see when examining the child's eye?
1. A white reflex 2. Blue-tinged sclera 3. A red reflex 4. Yellow sclera
A critical care nurse is caring for a critically ill patient diagnosed with pancreatitis. The nurse knows that the indications for starting parenteral nutrition (PN) for this patient are what?
A) 5% deficit in body weight compared to pre-illness weight and inability to consume oral food and fluids B) 7% deficit in body weight compared to pre-illness weight and restrictions to a clear liquid diet C) 10% deficit in body weight compared to pre-illness weight and inability to consume oral food and fluids D) 12% deficit in body weight and restrictions to a mechanical soft diet
A client is scheduled to receive a diuretic and a beta blocker. The nurse determines the combination of these drugs will have which effect on the client's blood pressure?
1. Oppositional 2. Synergistic 3. Antagonistic 4. Additive
A patient will receive buprenorphine (Butrans) as a transdermal patch for pain. What is important to teach this patient about the use of this drug?
a. Avoid prolonged exposure to the sun. b. Cleanse the site with soap or alcohol. c. Remove the patch daily at bedtime. d. Remove hair by shaving before applying the patch.