This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is brought to the emergency department with severe wheezing, dyspnea, and peripheral ... (Read 29 times)

jjjetplane

  • Hero Member
  • *****
  • Posts: 556
on: Jul 23, 2018
A patient is brought to the emergency department with severe wheezing, dyspnea, and peripheral edema.
 
  The nurse assesses a respiratory rate of 30 breaths per minute, a heart rate of 88 beats per minute, and a blood pressure of 88/54 mm Hg. Which medication does the nurse expect to be given initially?
  a. Albuterol
  b. Diphenhydramine
  c. Dopamine
  d. Epinephrine

Question 2

During resuscitation of a 5-year-old child, the provider requests an intravenous dose of 1 mL of epinephrine to be given STAT. The nurse will perform which action?
 
  a. Ask the provider to clarify the dose and the concentration.
  b. Draw up the dose and give it as a rapid intravenous bolus.
  c. Give the dose as a slow intravenous bolus and monitor vital signs.
  d. Request an order to give the dose via endotracheal tube.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Cnarkel

  • Sr. Member
  • ****
  • Posts: 339
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
The patient has signs of anaphylactic shock, and the first medication given will be epinephrine because it treats both bronchoconstriction and hypotension. Albuterol may be given later to help with respiratory distress. Diphenhydramine is an antihistamine to treat tissue-induced swelling. Dopamine will be given if hypotension persists.

Answer to Question 2

ANS: A
Epinephrine is available in two primary concentrations: 1:1,000 and 1: 10,000 mL. The 1:10,000 concentration is used when giving a single IV dose of epinephrine. The 1:1,000 concentration is used for other routes. The nurse should clarify the dose and the concentration.


jjjetplane

  • Member
  • Posts: 556
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

Perkypinki

  • Member
  • Posts: 339
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Did you know?

Approximately 500,000 babies are born each year in the United States to teenage mothers.

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Assessing Palpebral Conjunctiva, Patient Position Assessing Palpebral Conjunctiva, Patient Position
Patient teaching: rectal and anal assessment Patient teaching: rectal and anal assessment
Neuropeptides and Peripheral Peptides Involved in Control of Food Intake and Metabolism Neuropeptides and Peripheral Peptides Involved in Control of Food Intake and Metabolism
Medicinal leeches on a patient’s neck. Today leeches are sometimes used in microsurgery to prevent b Medicinal leeches on a patient’s neck. Today leeches are sometimes used in microsurgery to prevent b
Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ... Abdominal thrusts are delivered with a firm thrust into the patient’s abdomen with an upward ...
Algorithm for assessing a patient at risk for self-directed violence. Algorithm for assessing a patient at risk for self-directed violence.
Video: The Lagging Strand in DNA Replication and Replication in Action

For a complete list of videos, visit our video library