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Hypertensive- post test
Functional Health Patterns Adults I (NSG 301)
Misericordia University
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Results
Washington Saah
Assessment Statistics
90%
9 out of 10 points
9
Out of 10 points
Time for this attempt: 5 minutes 25 seconds
5 minutes 25 seconds
05:
Time for this attempt
Your Answers:
Results for item 1.
1
1 / 1 point
A patient who is receiving an IV antibiotic develops wheezes and dyspnea. In which order should the nurse implement these prescribed actions? (Match the order of the steps to the activity)
First Step Correct match: Discontinue the antibiotic.
Second Step Correct match: Provide 100% oxygen using a nonrebreather mask.
Third Step Correct match: Inject epinephrine IM or IV.
Fourth Step Correct match: Give diphenhydramine IV.
Fifth Step Correct match:
Prepare an infusion of dopamine.
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General Feedback
The nurse should initially discontinue the antibiotic because it is the likely cause of the allergic reaction. Next, oxygen delivery should be maximized, followed by treatment of bronchoconstriction with epinephrine administered IM or IV. Diphenhydramine will work more slowly than epinephrine, but will help prevent progression of the reaction. Because the patient currently does not have evidence of hypotension, the dopamine infusion can be prepared last.
Results for item 2.
2
1 / 1 point
A clinic patient is experiencing an allergic reaction to an unknown allergen. Which action is appropriate for the registered nurse (RN) to delegate to a licensed practical/vocational nurse (LPN/LVN)? Perform a focused physical assessment. , Not Selected Obtain the health history from the patient. , Not Selected Teach the patient about the various diagnostic studies. , Not Selected Correct answer: Administer a skin test by the cutaneous scratch method.
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General Feedback
LPN/LVNs are educated and licensed to administer medications under the supervision of an RN. RN-level education and the scope of practice include assessment of health history, focused physical assessment, and patient teaching.
Results for item 3.
3
1 / 1 point
A patient in the health care provider’s office for allergen testing using the cutaneous scratch method develops itching and swelling at the skin site. Which action should the nurse take first? Monitor the patient’s edema. , Not Selected
1 / 1 point
Immediately after the nurse administers an intracutaneous injection of an allergen on the forearm, the patient complains of itching at the site, weakness, and dizziness. What action should the nurse take first? Apply antiinflammatory cream. , Not Selected Correct answer: Place a tourniquet above the site. Administer subcutaneous epinephrine. , Not Selected Reschedule the patient’s other allergen tests. , Not Selected
Feedback
General Feedback Application of a tourniquet will decrease systemic circulation of the allergen and should be the first reaction. The other actions may occur, but the tourniquet application slows the allergen progress into the patient’s system, allowing treatment of the anaphylactic response. A local antiinflammatory cream may be applied to the site of a cutaneous test if the itching persists. Epinephrine will be needed if the allergic reaction progresses to anaphylaxis. Other testing may be delayed and rescheduled after development of anaphylaxis.
Results for item 6.
6
1 / 1 point
The health care provider asks the nurse whether a patient’s angioedema has responded to prescribed therapies. Which assessment should the nurse perform? Obtain the patient’s blood pressure and heart rate. , Not Selected Question the patient about any clear nasal discharge. , Not Selected Correct answer: Observe for swelling of the patient’s lips and tongue. Assess the patient’s extremities for wheal and flare lesions. , Not Selected
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General Feedback
Angioedema is characterized by swelling of the eyelids, lips, and tongue. Wheal and flare lesions, clear nasal drainage, and hypotension and tachycardia are characteristic of other allergic reactions.
Results for item 7.
7
0 / 1 point
Which of the following statements are accurate about the humoral immune response and the cellular immune response? (Select all that apply.) Incorrect answer: The humoral immune response is directly related to B cell surface receptors. Missed Option - Incorrect Correct answer: The cellular immune response is directly related to the T cell surface receptors. Incorrect answer: The cellular immune response is indirectly related to the B cell surface receptors. Selected Answer - Incorrect
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General Feedback
The humoral immune response is initiated when an antigen binds with antibody receptors on the surface of the mature B cell. In the cell-mediated immune response, T cells bind to the foreign antigen in multiple areas on the surface of the cell.
Results for item 8.
8
1 / 1 point
The nurse is providing education to a client with an IgE-mediated hypersensitivity reaction. What statement made by the patient indicates that further education is required? "Asthma is an example of an IgE-mediated hypersensitivity reaction." , Not Selected Correct answer: "Complement system is involved in IgE-mediated hypersensitivity reactions." "Histamine and mast cells are the mediators of injury in IgE-mediated hypersensitivity reactions." , Not Selected
Contact dermatitis is a delayed type of hypersensitivity reaction in which the patient, if exposed to the same allergen for the second time, develops hypersensitivity reactions. Contact dermatitis is characterized by pruritic, erythematous lesions covered with papules, vesicles, and bullae. The skin lesions will be localized to the area that was exposed to the allergen. Contact dermatitis is a delayed type of hypersensitivity reaction in which the patient, if exposed to the same allergen for the second time, develops hypersensitivity reactions. Contact dermatitis is characterized by pruritic, erythematous lesions covered with papules, vesicles, and bullae. The skin lesions will be localized to the area that was exposed to the allergen.
Results for item 10.
10
1 / 1 point
A nurse is administering epinephrine to a patient who has developed an anaphylactic reaction after the injection of an antibiotic. What should the nurse tell the patient regarding epinephrine? Select all that apply. Correct answer: It relaxes bronchial smooth muscles. Correct answer: It causes vasoconstriction of peripheral blood vessels.
Feedback
General Feedback
Epinephrine is a hormone produced by adrenal medulla that causes vasoconstriction of peripheral blood vessels and relaxes bronchial smooth muscles. These effects are due to activation of beta-adrenergic receptors. Its action lasts for a few minutes, and it can be given only parenterally (IM or IV). The drug cannot be given through nasal sprays. Epinephrine is a hormone produced by adrenal medulla that causes vasoconstriction of peripheral blood vessels and relaxes bronchial smooth muscles. These effects are due to activation of beta-adrenergic receptors. Its action lasts for a few minutes, and it can be given only parenterally (IM or IV). The drug cannot be given through nasal sprays.
Hypertensive- post test
Course: Functional Health Patterns Adults I (NSG 301)
University: Misericordia University
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