ATI RN
ATI Pharmacology Quiz 3 e25 Questions
Extract:
Question 1 of 5
A pediatric patient presents to the emergency department with complaints of shortness of breath, increased work of breathing, and a cough. The patient is alert and oriented at times 3, skin is pink, warm and dry. BP 112/68, T99, P106, RR 32. pulse oximetry 90% on room air. Assessment of the lung sounds reveals diminished lung sounds throughout all lung fields. The patient has a past medical history of peanut allergy. The mother tells you that they were at a birthday party and after consumption of a cupcake, the symptoms started. The nurse anticipates that which of the following medications will likely be ordered for this patient?
Correct Answer: D
Rationale: The correct answer is D: Epinephrine. In this scenario, the patient is showing signs of anaphylaxis, a severe allergic reaction. Epinephrine is the first-line treatment for anaphylaxis as it helps to reverse the symptoms by constricting blood vessels, relaxing smooth muscles, and reducing swelling. The patient's symptoms of shortness of breath, increased work of breathing, and decreased oxygen saturation support the need for epinephrine. Other choices are incorrect because: A: Cetirizine and B: Diphenhydramine are antihistamines that can help with mild allergic reactions, but are not sufficient for anaphylaxis. C: Guaifenesin is an expectorant used for cough and does not treat anaphylaxis. Epinephrine is the most appropriate choice in this case due to the severity of the symptoms and the patient's history of peanut allergy.
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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