Practice Question
The nurse is caring for a patient who presents with.
Answer Choices:
Correct Answer:
Breath sounds
Rationale:
🎯The client is exhibiting signs of a serious allergic reaction—likely anaphylaxis—shortly after receiving amoxicillin.
- Swollen tongue indicates airway edema, a critical emergency requiring rapid intervention.
- Breath sounds with wheezing signify bronchoconstriction, compromising gas exchange.
- The drop in blood pressure (from 108/56 to 88/56 mm Hg) reflects vasodilation and shock.
- Tachycardia (from 66 to 104/min) shows the body's compensatory response to hypotension.
🎯 These findings represent a systemic reaction that can escalate quickly.
🎯Immediate action is required to protect the airway and stabilize circulation.
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This question is from RN Fundamentals~2023 Exam 2 which contains 59 questions.
More Questions from This Exam
A nurse is preparing to provide tracheostomy care for a client. Which of the following actions should the nurse plan to take?
Answer Choices:
A. Cut a 4 inch x 4 inch (10 cm x 10 cm) gauze pad to place under the flanges of the tracheostomy tube.
B. Secure the tracheostomy in place with a collar that has hook-and- loop fasteners.
C. Wear clean gloves while cleaning the inner cannula.
D. Cleanse the skin around the stoma with full-strength hydrogen peroxide.
A nurse is conducting the Weber's test on a client. Which of the following is an appropriate action for the nurse to take?
Answer Choices:
A. Deliver a series of high-pitched sounds at random intervals_
B. Whisper a series of words softly into one ear.
C. Place an activated tuning fork in the middle of the client's forehead.
D. Hold an activated tuning fork against the client's mastoid process-
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Answer Choices:
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Answer Choices:
A. Obtain a prescription for a diuretic
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C. Administer epinephrine to the client.
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Answer Choices:
A. Pour liquids into containers outside the sterile field
B. Place the sterile field at the level of the nurse's hips.
C. Hold bottles of sterile solution with the label in the palm of the hand.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Fundamentals of Nursing
- Answer Choices: 6