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 this scenario, the client is showing signs of an anaphylactic reaction to the bee sting, such as hypotension, tachycardia, respiratory distress, and low oxygen saturation. Epinephrine is the first-line treatment for anaphylaxis as it helps to reverse the severe allergic reaction by constricting blood vessels, increasing blood pressure, and opening up the airways to improve breathing. Administering epinephrine promptly can be life-saving in such cases.
Choice A (Administer benadryl) is incorrect because while antihistamines like Benadryl can help with allergic reactions, they are not the first-line treatment for anaphylaxis.
Choice B (Apply ice to the site) is incorrect as ice will not address the systemic allergic reaction that is occurring in this case.
Choice D (Determine if the sting is in situ) is incorrect because the
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