The nurse is caring for a client who is receiving an IV antibiotic and develops wheezes and dyspnea. In which order should the nurse implement these prescribed actions?
A)Discontinue the antibiotic infusion.
B)Give diphenhydramine IV.
C)Inject epinephrine IM or IV.
D)Prepare an infusion of dopamine.
E)Start 100% oxygen using a nonrebreather mask.

Question

Quizplus · Accepted Answer

The nurse should initially discontinue the antibiotic, since it is the likely cause of the allergic reaction. Next, oxygen delivery should be maximized, followed by treatment of bronchoconstriction with epinephrine administered IM or IV. Diphenhydramine will work more slowly than epinephrine, but will help prevent progression of the reaction. Since the client currently does not have evidence of hypotension, the dopamine infusion can be prepared last.

The Nurse Is Caring for a Client Who Is Receiving