Summary
Summary ( 4 Questions)
Administering epinephrine as prescribed is an intervention that the nurse should implement for a client who has anaphylactic shock due to a hypersensitivity reaction to a medication. Epinephrine is a medication that can reverse the effects of anaphylaxis by stimulating the sympathetic nervous system, which causes bronchodilation, vasoconstriction, increased cardiac output, and decreased release of inflammatory mediators.
Monitoring blood pressure and pulse oximetry is an intervention that the nurse should implement for a client who has anaphylactic shock due to a hypersensitivity reaction to a medication. Anaphylactic shock can cause hypotension and hypoxia due to vasodilation, increased capillary permeability, bronchoconstriction, and laryngeal edema. The nurse should monitor the client's vital signs and oxygen saturation regularly and report any changes or deterioration.
Administering antihistamines as prescribed is an intervention that the nurse should implement for a client who has anaphylactic shock due to a hypersensitivity reaction to a medication. Antihistamines are medications that can block the effects of histamine, which is one of the inflammatory mediators released during anaphylaxis. Antihistamines can help reduce itching, hives, flushing, and swelling.
Administering corticosteroids as prescribed is an intervention that the nurse should implement for a client who has anaphylactic shock due to a hypersensitivity reaction to a medication. Corticosteroids are medications that can suppress the immune system and reduce inflammation by inhibiting the synthesis of prostaglandins, leukotrienes, and cytokines, which are other inflammatory mediators released during anaphylaxis. Corticosteroids can help prevent or treat delayed or prolonged reactions.
Administering antibiotics as prescribed is not an intervention that the nurse should implement for a client who has anaphylactic shock due to a hypersensitivity reaction to a medication. Antibiotics are medications that can treat bacterial infections, but they have no effect on anaphylaxis, which is an immune-mediated reaction. In fact, some antibiotics can cause anaphylaxis in some clients who are allergic to them.
Choice A reason:
Administering epinephrine as prescribed is an intervention that the nurse should implement for a client who has anaphylactic shock due to a hypersensitivity reaction to a medication. Epinephrine is a medication that can reverse the effects of anaphylaxis by stimulating the sympathetic nervous system, which causes bronchodilation, vasoconstriction, increased cardiac output, and decreased release of inflammatory mediators.
Choice B reason:
Monitoring blood pressure and pulse oximetry is an intervention that the nurse should implement for a client who has anaphylactic shock due to a hypersensitivity reaction to a medication. Anaphylactic shock can cause hypotension and hypoxia due to vasodilation, increased capillary permeability, bronchoconstriction, and laryngeal edema. The nurse should monitor the client's vital signs and oxygen saturation regularly and report any changes or deterioration.
Choice C reason:
Administering antihistamines as prescribed is an intervention that the nurse should implement for a client who has anaphylactic shock due to a hypersensitivity reaction to a medication. Antihistamines are medications that can block the effects of histamine, which is one of the inflammatory mediators released during anaphylaxis. Antihistamines can help reduce itching, hives, flushing, and swelling.
Choice D reason:
Administering corticosteroids as prescribed is an intervention that the nurse should implement for a client who has anaphylactic shock due to a hypersensitivity reaction to a medication. Corticosteroids are medications that can suppress the immune system and reduce inflammation by inhibiting the synthesis of prostaglandins, leukotrienes, and cytokines, which are other inflammatory mediators released during anaphylaxis. Corticosteroids can help prevent or treat delayed or prolonged reactions.
Choice E reason:
Administering antibiotics as prescribed is not an intervention that the nurse should implement for a client who has anaphylactic shock due to a hypersensitivity reaction to a medication. Antibiotics are medications that can treat bacterial infections, but they have no effect on anaphylaxis, which is an immune-mediated reaction. In fact, some antibiotics can cause anaphylaxis in some clients who are allergic to them.