EpiPen Autoinjector

A 51-year-old woman was admitted to the ED about 2 hours ago. She has a history of asthma, and her admitting diagnosis is pneumonia. She is now complaining of breathing difficulty. The nurse notes an audible wheeze and an erythematous rash over the patient’s entire body; the rash was not noted on admission. The patient received an initial dose of penicillin by IV piggyback 1 hour ago but has no history of allergies to antibiotics. Which sign of anaphylaxis would the nurse expect to find while assessing this patient?

Which nursing intervention is appropriate for a patient in anaphylactic shock?

A patient presents to the emergency department with sudden onset of confusion, angioedema, and bronchospasm while having lunch in a restaurant. The patient is hypotensive. What medication should not be administered?

Paramedics are transporting a 32-year-old woman with a severe anaphylactic reaction. The estimated time of arrival in the ED is 11 minutes. The nurse knows that anaphylaxis most commonly is precipitated by:

A 12-year-old boy arrives at the ED complaining of difficulty breathing. His parents inform the nurse that the family has a long history of asthma and that the child has suffered previous wheezing episodes but none this severe. Arterial blood gas (ABG) studies performed, while the patient is breathing room air (21% oxygen), reveal: pH 7.21, PO2 65 mmHg, PCO2 62 mmHg, and HCO3 – 24 mEq/L. The nurse would interpret this patient’s ABG result as:

All of the following treatments are used in the initial management of anaphylaxis except:

The nurse would expect immediate treatment of a severe allergic drug reaction to include administration of:

A 12-year-old boy arrives at the ED complaining of difficulty breathing. His parents inform the nurse that the family has a long history of asthma and that the child has suffered previous wheezing episodes but none this severe. Arterial blood gas (ABG) studies performed, while the patient is breathing room air (21% oxygen), reveal: pH 7.21, PO2 65 mmHg, PCO2 62 mmHg, and HCO3 – 24 mEq/L. The nurse would interpret this patient’s ABG result as:

A 12-year-old boy arrives at the ED complaining of difficulty breathing. His parents inform the nurse that the family has a long history of asthma and that the child has suffered previous wheezing episodes but none this severe. Arterial blood gas (ABG) studies performed, while the patient is breathing room air (21% oxygen), reveal: pH 7.21, PO2 65 mmHg, PCO2 62 mmHg, and HCO3 – 24 mEq/L. The nurse would interpret this patient’s ABG result as:

Which anaphylactic manifestation is the nurse’s lowest priority when treating a patient with altered gas exchange?

The nurse’s discharge instructions for a patient who suffered an insect-related allergic reaction should include information on all of the following except:

The nurse knows that, unlike other bites, the bite ofthe brown recluse spider:

Which therapy would the nurse expect the physician to order for a patient who incurred any bite, regardless of the type?

When advising a patient about how to reduce the risk of future bites or stings, the nurse instructs him to:

A 15-year-old boy is brought to the ED by his father for evaluation of a painful, erythemic lesion on his right leg. The patient, who had been walking through a wooded area earlierin the day, thinks that he may have been stung or bitten. Which nursing intervention is appropriate when treating a patient with an insect bite or sting?

A 29-year-old patient presents to the ED with signs and symptoms of anaphylaxis, after walking through a fire ant hill. Which of the following is the recommended treatment after receiving 1 dose of epinephrine 0.3mg, with minimal relief. ?

A 22-year-old man is brought to the ED by his friends, who inform the nurse that they think he has overdosed on cocaine. After the patient has been in the ED for some time, the nurse begins to evaluate him for signs of withdrawal. Which symptom is characteristic of cocaine withdrawal?

A 23-year-old man who had been hiking is brought to the emergency department (ED) after having sustained a snakebite to his lower left leg 20 minutes ago. The most appropriate nursing intervention for this patient would be to: