Author Question: A patient comes into the emergency department with systemic manifestations of anaphylaxis caused by ... (Read 91 times)

iveyjurea · **on:** Jul 23, 2018

A patient comes into the emergency department with systemic manifestations of anaphylaxis caused by a wasp sting. For which health problems would the nurse be concerned prior to administering epinephrine?

1. Premature ventricular contractions
2. Hypertension
3. Hyperthyroidism
4. Pheochromocytoma
5. Hypotension

Question 2

The nurse is concerned that a patient receiving dobutamine (Dobutrex) is experiencing adverse effects from the medication. What did the nurse assess in the patient?

1. Palpitations
2. Drop in blood pressure
3. Cold extremities
4. Headache
5. Blurred vision

jaaaaaaa · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: The drug must be used with caution in patients with dysrhythmias because epinephrine may worsen this condition.
Rationale 2: The drug must be used with caution in patients with hypertension because epinephrine may worsen this condition.
Rationale 3: The drug must be used with caution in patients with hyperthyroidism because epinephrine may worsen this condition.
Rationale 4: Dopamine is contraindicated for pheochromocytoma.
Rationale 5: Norepinephrine should not be administered to patients with hypotension.

Answer to Question 2

Correct Answer: 1,2,3
Rationale 1: Palpitations are an adverse effect of dobutamine (Dobutrex).
Rationale 2: Hypotension is an adverse effect of dobutamine (Dobutrex).
Rationale 3: Cold extremities are an adverse effect of dobutamine (Dobutrex).
Rationale 4: Headache is an adverse effect of digoxin (Lanoxin).
Rationale 5: Blurred vision is an adverse effect of digoxin (Lanoxin.)