A client has anaphylaxis. Which action by the nurse takes highest priority?
a. Administering oxygen
b. Giving epinephrine
c. Maintaining an open airway
d. Starting an IV
C
Anaphylaxis is treated by subcutaneous epinephrine injection, removing or discontinuing the causative agent, administering emergency oxygen, maintaining an open airway, placing the client in the Trendelenburg position, and giving supportive IV fluids, such as 0.9% normal saline or lactated Ringer's solution as necessary. The priority intervention is maintaining an airway, be-cause without an airway the client will be hypoxic despite being treated correctly.
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However, when it was time for her own tetanus shot booster, there was a problem. What might have been the problem? A. Although she can consent for her newborn's care, she needs parental consent for her own. B. The young mother could not have an immunization while breastfeeding a baby. C. The young mother should not have an immunization until she has had her postpartum checkup. D. After childbirth is an inappropriate time for a new mother to receive an immunization.
The nurse is providing education for nonpharmacological interventions to manage hypertension. Which information should the nurse include?
A. Increase your dietary intake of fruits and vegetables. B. Decrease the consumption of alcohol. C. Reduce the dietary intake of potassium. D. Increase physical activity. E. Restrict your intake of sodium.
The primary care provider (PCP) diagnoses C.e. with bilateral otitis media and strep pharyngitis. C.e. is
given a prescription for Augmentin 600 mg bid PO × 7 days. she is to be discharged to home with instruc- tions to follow-up with the ear, nose, and throat (eNT) specialist. You review the orders before completing discharge teaching. What is your first action?
The nurse is planning to provide teaching to the new adolescent mother to prepare her for discharge. The nurse plans to:
1. Provide oral instructions. 2. Provide written instructions. 3. Provide oral and written instructions. 4. Provide hands-on demonstrations with return demonstration.