Medical_Surgical_Nursing_10th_Edition_Lewis_Test_Bank.pdf (3) (1)-104

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Chamberlain College of Nursing *

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NR325

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Nursing

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Nov 24, 2024

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pdf

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OBJ: Special Questions: Prioritization TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity OTHA 1. A patient who is receiving an IV antibiotic develops wheezes and dyspnea. In which orda should the nurse implement these prescribed actions? (Put a comma and a space between each answa choice [A, B, C, D, E]). a. Discontinue the antibiotic. b. Give diphenhydramine IV. c. Inject epinephrine IM or IV. d. Prepare an infusion of dopamine. e. Provide 100% oxygen using a nonrebreatha mask. ANS: A, E, C, B, D The nurse should initially discontinue the antibiotic because it is the likely cause of the allagic reaction. Next, oxygen delivay should be maximized, followed by treatment of bronchoconstriction with epinephrine administaed IM or IV. Diphenhydramine will work more slowly than epinephrine, but will help prevent progression of the reaction. Because the patient currently does not have evidence of hypotension, the dopamine infusion can be prepared last. DIF: Cognitive Level: Analyze (analysis) REF: 201 OBJ: Special Questions: Prioritization TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
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