Author Question: The young patient has a history of multiple allergies, and the physician prescribed epinephrine ... (Read 73 times)

fagboi · **on:** Jul 23, 2018

The young patient has a history of multiple allergies, and the physician prescribed epinephrine (EpiPen) for prevention of anaphylactic shock. The patient's mother says to the nurse, I thought shock was about heart failure.

What is the best response by the nurse?
1. There are many kinds of shock: heart failure, nervous system damage, loss of blood, and respiratory failure.
2. Allergic response is the most fatal type of shock; other types involve loss of blood, heart failure, and liver failure.
3. There are many kinds of shock that also include infection, nervous system damage, and loss of blood.
4. Heart failure is the most serious kind of shock; others include infection, kidney failure, and loss of blood.

Question 2

The nurse is reviewing the health history for a patient who may be a candidate for thrombolytic therapy for the treatment of an MI. The nurse knows that therapy is contraindicated in which circumstances?

1. Menses
2. A history of intracranial hemorrhage
3. Hemophilia
4. Liver disease
5. Peptic ulcer disease

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

Answer to Question 1

Correct Answer: 3
Rationale: Obvious bleeding suggests hypovolemic shock, trauma to the brain or spinal cord suggests neurogenic shock, inadequate cardiac output would suggest cardiogenic shock, a recent infection may indicate septic shock, and a history of allergies with a sudden onset of symptoms may suggest anaphylactic shock. Kidney failure is not a type of shock. Respiratory failure is not a type of shock. Liver failure is not a type of shock.

Answer to Question 2

Correct Answer: 2,3,4,5
Rationale 1: Menses is not a contraindication for thrombolytic therapy.
Rationale 2: A history of intracranial hemorrhage is a contraindication for thrombolytic therapy.
Rationale 3: Hemophilia, a clotting disorder, is a contraindication for thrombolytic therapy.
Rationale 4: Liver disease is a contraindication for thrombolytic therapy.
Rationale 5: Peptic ulcer disease is a contraindication for thrombolytic therapy.