NCLEX-PN
NCLEX Questions on Immune System Questions
Extract:
Question 1 of 5
The client is experiencing an anaphylactic reaction to bee venom. Which interventions should the nurse implement? List in order of priority.
Order the Items
Source Container
Establish a patent airway.
Administer epinephrine, an adrenergic agonist, IVP.
Start an IV with 0.9% saline.
Teach the client to carry an EpiPen when outside.
Administer diphenhydramine (Benadryl), an antihistamine, IVP.
Correct Answer: A,B,C,E,D
Rationale: Priority: 1) Airway (ABCs); 2) Epinephrine (reverse anaphylaxis); 3) IV fluids (support hemodynamics); 4) Diphenhydramine (reduce histamine effects); 5) EpiPen teaching (prevention).
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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