Nursing Interventions on First Aid
Nursing Interventions on First Aid ( 5 Questions)
A client who has a severe peanut allergy is experiencing an anaphylactic reaction after eating a cookie that contained peanut butter. The nurse administers epinephrine to the client and monitors their vital signs. What should the nurse expect the client to say after receiving epinephrine?
Reason: The nurse should not expect the client to say that they feel much better after receiving epinephrine, as this medication may not reverse the anaphylactic reaction completely or prevent its recurrence. The nurse should continue to monitor the client for signs of respiratory distress, hypotension, or shock.
Reason: The nurse should expect the client to say that they feel very shaky and nervous after receiving epinephrine, as this medication is a sympathomimetic agent that stimulates the adrenergic receptors and causes side effects such as tremors, anxiety, palpitations, tachycardia, and hypertension. The nurse should reassure the client that these effects are normal and temporary.
Reason: The nurse should not expect the client to say that they feel very sleepy and tired after receiving epinephrine, as this medication is a stimulant that increases alertness and energy. The nurse should assess the client for hypoxia, hypoglycemia, or cerebral edema if they report feeling drowsy or lethargic.
Reason: The nurse should not expect the client to say that they feel very thirsty and dry after receiving epinephrine, as this medication does not cause dehydration or fluid loss. The nurse should assess the client for other causes of thirst or dry mouth, such as diabetes mellitus, diabetes insipidus, or anticholinergic medications.
Choice A Reason: The nurse should not expect the client to say that they feel much better after receiving epinephrine, as this medication may not reverse the anaphylactic reaction completely or prevent its recurrence. The nurse should continue to monitor the client for signs of respiratory distress, hypotension, or shock.
Choice B Reason: The nurse should expect the client to say that they feel very shaky and nervous after receiving epinephrine, as this medication is a sympathomimetic agent that stimulates the adrenergic receptors and causes side effects such as tremors, anxiety, palpitations, tachycardia, and hypertension. The nurse should reassure the client that these effects are normal and temporary.
Choice C Reason: The nurse should not expect the client to say that they feel very sleepy and tired after receiving epinephrine, as this medication is a stimulant that increases alertness and energy. The nurse should assess the client for hypoxia, hypoglycemia, or cerebral edema if they report feeling drowsy or lethargic.
Choice D Reason: The nurse should not expect the client to say that they feel very thirsty and dry after receiving epinephrine, as this medication does not cause dehydration or fluid loss. The nurse should assess the client for other causes of thirst or dry mouth, such as diabetes mellitus, diabetes insipidus, or anticholinergic medications.