ATI RN
ATI RN Pharmacology 2019 II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who develops an anaphylactic reaction to IV antibiotic administration. After assessing the client's respiratory status and stopping the medication infusion, which of the following actions should the nurse take next?
Correct Answer: B
Rationale: The correct answer is B: Administer epinephrine IM. Epinephrine is the first-line treatment for anaphylaxis due to its rapid action in reversing severe allergic reactions. It acts on alpha and beta-adrenergic receptors, improving bronchodilation, increasing blood pressure, and reducing swelling. Administering epinephrine promptly can prevent further complications and potentially save the client's life.
Incorrect options:
A: Giving diphenhydramine IM is not the first-line treatment for anaphylaxis. It can be used as an adjunct therapy, but epinephrine is the priority.
C: Elevating the client's legs and feet does not address the life-threatening respiratory distress caused by an anaphylactic reaction.
D: Replacing the infusion with 0.9% sodium chloride does not address the immediate need to reverse the anaphylactic reaction. This action may be necessary later, but not as the initial intervention.
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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