ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
A 9-year-old client after a bee sting, experiencing nausea and vomiting, BP 68/40 mm Hg, pulse 148 beats/minute, O2 saturation 86%, dyspneic
Question 1 of 5
A 9-year-old client presents to the emergency department after a bee sting and experiencing bouts of nausea and vomiting. The nurse notes the client's blood pressure is 68/40 mm Hg, pulse is 148 beats/minute. O2 saturation is 86%, and the child is dyspneic. Which action is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C: Give epinephrine. In anaphylaxis, like in this case of a severe reaction to a bee sting, prompt administration of epinephrine is crucial as it helps to reverse the symptoms by constricting blood vessels, improving blood pressure, and opening up airways. Epinephrine is the first-line treatment for anaphylaxis and can prevent progression to more severe reactions. Administering benadryl (
A) or applying ice to the site (
B) may help with mild allergic reactions but will not address the life-threatening symptoms seen in this case. Determining if the sting is in situ (
D) can be done once the client is stabilized, but it is not the priority in this acute situation.
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