Kenneth Bronson Exam 1 (100% correct and graded A+)
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Kenneth Bronson
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Kenneth Bronson
After administering Choose Answer.. , which is the priority medication to treat anaphylaxis, the nurse
recognizes that the medication is effective when the client's Choose Answer.. - Epinephrine, Sp02
increases.
Rationale: Epinephrine is the first-line drug in the treatment of anaphylaxis. As an...
Kenneth Bronson After administering Choose Answer.. , which is the priority medication to treat anaphylaxis, the nurse recognizes that the medication is effective when the client's Choose Answer.. - Epinephrine, Sp02 increases. Rationale: Epinephrine is the first -line drug in the treatment of anaphylaxis. As an adrenergic, epinephrine relaxes bronchial smooth muscle. This treatment is needed to counter the bronchospasm and smooth muscle spasm, which are physical components of ana phylaxis that contribute to the client's respiratory distress. If effective in relieving bronchoconstriction, the client's oxygen saturation should increase, due to improved gas exchange. After initial identification of potential for anaphylaxis, the nurse's priority assessment is Choose Answer.. followed by Choose Answer.. - Auscultation lungs, assess blood pressure. Rationale: When a client is in respiratory distress, it is important to determine the cause so that appropriate measures to treat the client can be started. Assessing the airway, breathing, and circulation are the basic first steps. Auscultating the lungs helps to further delineate what the potential cause and treatment will be. It is essential to assess blood pressure immediately after airway; due to increased vascular permeability, subsequent decrease in peripheral resistance, and leakage of plasma fluids , hypotension is a serious secondary threat that could lead to shock. Epinephrine is the first -line drug for anaphylaxis because of which of the following properties? - Relaxes bronchial muscle. Rationale: epinephrine relaxes bronchial smooth muscle by stimulating beta2 receptors; this improves oxygenation, decreasing respiratory distress. Epinephrine does notdecrease inflammation. Epinephrine increases blood pressure. Although epinephrine may dec rease urticaria, that is not the primary reason it is given during anaphylaxis. The client experiencing an anaphylactic reaction may experience which of the following signs and symptoms? (Select all that apply.) - Dyspnea, brochospasm, pruritus, laryngeal edema. Rationale: mild systemic reactions consist of peripheral tingling, warmth, a sensation of fullness in the mouth and throat, nasal congestion, periorbial swelling, pruritus, sneezing, and tearing of the eyes. Moderate systemic reactions may include flushing and anxiety in addition to any of the milder symptoms. More serious reactions include bronchospasm, laryngeal edema, severe dyspnea, cyanosis, and hypotension. Dysphagia (difficulty swallowing),abdominal cramping, vomiting, diarrhea, and seizures can also occur. Cardiac arrest and coma may follow.
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