Question 1

Which should the nurse prepare for the client experiencing shock? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The nurse should prepare a cardiac monitor to monitor the client's heart rate and rhythm, a pulse oximeter to measure the client's oxygen saturation, and oxygen to improve oxygenation. Whole blood and Dextran 40 may be used in some cases of shock, but these interventions would typically be ordered by a physician and would not be the first-line interventions for a nurse to prepare.

Question 2

Which statements by a client treated with epinephrine should the nurse be concerned about? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which statements by a client treated with...

Question 3

Which immediate goals should the nurse focus on for a client experiencing an anaphylactic reaction to penicillin? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The immediate goals for a client experiencing an anaphylactic reaction include normalization of blood pressure (A) to counteract hypotension, reduction of inflammatory response (D) to manage symptoms, and provision of basic life support (E) to ensure airway, breathing, and circulation are maintained.

Question 4

Which current prescriptions should the nurse be concerned with for a client requiring dopamine? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Dopamine can interact with MAO inhibitors, increasing the risk of hypertensive crisis. Phenytoin can cause hypotension and bradycardia when used with dopamine. Beta blockers can reduce the effects of dopamine. Digoxin can increase the risk of arrhythmias when used with dopamine. Aspirin does not have a significant interaction with dopamine.

Question 5

For which conditions should the nurse anticipate norepinephrine to be prescribed? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of For which conditions should the nurse anticipate...

Question 6

Which laboratory results should the nurse understand are associated with the treatment of epinephrine? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Epinephrine is a medication used to treat anaphylaxis and cardiac arrest. It works by stimulating the sympathetic nervous system, which can lead to certain laboratory changes.

A) Elevated digoxin is not associated with the treatment of epinephrine.

B) Decreased potassium is associated with the treatment of epinephrine. Epinephrine can stimulate the sodium-potassium pump, leading to intracellular potassium shifting and potentially causing hypokalemia.

C) Increased calcium is not associated with the treatment of epinephrine.

D) Decreased sodium is not typically associated with the treatment of epinephrine.

E) Elevated blood glucose is associated with the treatment of epinephrine. Epinephrine can stimulate gluconeogenesis and glycogenolysis, leading to increased blood glucose levels.

Question 7

Which prescription should the nurse anticipate administering to a client treated for an anaphylactic reaction with epinephrine? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

Antibiotics would not be routinely prescribed for an anaphylactic reaction unless there was a secondary bacterial infection present. Vasopressors and vasodilators may be used in certain situations, but epinephrine would typically be the first-line treatment for anaphylaxis. Antihistamines and corticosteroids are commonly prescribed following epinephrine administration to reduce inflammation and prevent further allergic reactions.

Question 8

Which conditions should the nurse be concerned about prior to administering epinephrine for anaphylaxis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which conditions should the nurse be concerned...

Question 9

Which assessment findings indicate a client receiving dobutamine (Dobutrex) is experiencing an adverse effect? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of Which assessment findings indicate a client receiving...

Question 10

A client treated previously for a fractured leg and multiple abrasions returns to the emergency department experiencing anaphylactic shock. Which prescriptions should the nurse suspect have caused the reaction? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Accepted Answer

The answer of A client treated previously for a fractured...

Quiz 29: Drugs for Shock