ATI Nur 270 Pediatrics GI | Nurselytic

Questions 49

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ATI Nur 270 Pediatrics GI Questions

Extract:

A 9-year-old client after a bee sting, experiencing nausea and vomiting, blood pressure 68/40 mm Hg, pulse 148 beats/minute, O2 saturation 86%, and 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. 02 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 this scenario, the client is exhibiting signs of an anaphylactic reaction to the bee sting, including hypotension, tachycardia, low O2 saturation, and dyspnea. Epinephrine is the first-line treatment for anaphylaxis as it helps to reverse the severe allergic reaction by increasing blood pressure, improving breathing, and reducing swelling. Administering epinephrine promptly is crucial to prevent further deterioration and potentially save the client's life.
Other choices are incorrect:
A. Administering Benadryl may help with allergic symptoms but will not address the life-threatening symptoms of anaphylaxis.
B. Applying ice to the site is not a priority in this situation as the client is experiencing systemic symptoms of anaphylaxis.
D. Determining if the sting is in situ is not a priority compared to addressing the client's immediate life-threatening symptoms.

Extract:


Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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