Which principle holds the highest priority when caring for a patient with a history of allergies?

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:

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

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 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?

Which pharmacologic agent is least likely to be used to treat a patient with anaphylaxis?

A 50-year-old arrives at your ED complaining of nausea, vomiting, diarrhea, and weakness that began about 90 minutes ago. The patient reports that he was eating at a seafood restaurant and the symptoms began shortly after eating there. Which of the following is the likely cause of this patient symptoms?

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 statement concerning allergic drug reactions is true?

The patient stops breathing shortly after the nurse institutes inhaled bronchodilator therapy, as ordered. After initial ventilation with a bag-valve-mask device, the patient achieves good bilateral chest rising. He is then intubated with an orotracheal tube, and ventilation is continued. A repeat ABG analysis indicates pH, 7.12, PCO2 55 mmHg, PO2 33 mmHg, and HCO3 – 25 mEq/L. No loss of vital signs is noted. The patient is then given 100 mEq of sodium bicarbonate. Ten minutes later, ABG analysis indicates pH, 7.55, PCO2 35 mmHg, PO2 425 mmHg, and HCO3 – 36.5 mEq/L. Based on the latest ABG results, the nurse knows that the patient is exhibiting signs of:

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?

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

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

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:

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

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. ?

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

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?