Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?
A. Albuterol
The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B. Hydrocortisone sodium succinate
Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C. Diphenhydramine
Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D. Epinephrine
Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.
This question is an excerpt from Nurse Dive's nursing test bank - Dumund ATI comprehensive med surg proctored exam. Take the full exam now
Full Explanation
A. The first-line treatment for anaphylactic shock is epinephrine, as it rapidly reverses the severe manifestations of an allergic reaction.
B. Albuterol is a bronchodilator and may help with respiratory symptoms but is not the first-line treatment for anaphylaxis.
C. Steroids like hydrocortisone may be used in conjunction with epinephrine but are not the immediate first choice.
D. Diphenhydramine may be used to manage symptoms but is not as rapidly effective as epinephrine.
Similar Questions
A nurse is collecting data from a client who has seasonal allergies and is taking an antihistamine. Which of the following findings is an adverse effect of this type of medication?
A. Increased blood pressure
Antihistamines typically cause a mild decrease in blood pressure.
B. Dry mouth
Antihistamines often have anticholinergic effects, leading to dry mouth.
C. Photophobia
This is not a common adverse effect of antihistamines.
D. Diarrhea
Antihistamines are more likely to cause constipation than diarrhea.
Full Explanation
A. Antihistamines typically cause a mild decrease in blood pressure.
B. Antihistamines often have anticholinergic effects, leading to dry mouth.
C. This is not a common adverse effect of antihistamines.
D. Antihistamines are more likely to cause constipation than diarrhea.
A nurse is reinforcing teaching with a client about the physical effects of chemotherapy.
Following the teaching, the nurse asks the client to describe one physical effect. The nurse is focusing on which element of the communication process?
A. Feedback
Asking the client to describe one physical effect after teaching is seeking feedback to ensure understanding.
B. Environment
The environment refers to the physical surroundings and context of communication, not the client's response.
C. Message
The message is the information conveyed during teaching.
D. Channel
The channel is the method or medium through which communication occurs, such as verbal or written communication.
Full Explanation
A. Asking the client to describe one physical effect after teaching is seeking feedback to ensure understanding.
B. The environment refers to the physical surroundings and context of communication, not the client's response.
C. The message is the information conveyed during teaching.
D. The channel is the method or medium through which communication occurs, such as verbal or written communication.
A nurse is assisting with a group therapy session for clients who are newly diagnosed with cancer. Which of the following statements should the nurse make?
A. I notice you keep clenching your fists. Please refrain from doing that during this meeting.
This statement is directive and may not encourage open discussion.
B. You need to work hard on resolving conflict with family and friends closest to you.
This is prescriptive and may not be well-received in a group therapy setting.
C. Antidepressants are not the solution for your problems, but this therapy group definitely is.
Making definitive statements about the effectiveness of the therapy group may not be appropriate.
D. What do you mean when you say you cannot ever return to work?
This statement encourages open communication and exploration of the client's concerns, fostering a therapeutic environment in group therapy.
Full Explanation
This statement is directive and may not encourage open discussion.
B: This is prescriptive and may not be well-received in a group therapy setting.
C: Making definitive statements about the effectiveness of the therapy group may not be appropriate.
D: This statement encourages open communication and exploration of the client's concerns, fostering a therapeutic environment in group therapy.