A nurse is assessing a client for a suspected anaphylactic reaction following a CT scan with contrast media. For which of the following client findings should the nurse intervene first?
Vomiting
Stridor
Hypertension
Urticaria
The Correct Answer is B
A. Vomiting: While vomiting can occur during anaphylaxis, it is not the most immediately life-threatening symptom.
B. Stridor: Stridor indicates upper airway obstruction, which is a critical and life-threatening sign of anaphylaxis. This finding requires immediate intervention, such as administering epinephrine and ensuring airway patency.
C. Hypertension: Hypertension is not typically associated with anaphylaxis; instead, hypotension is more common due to vascular collapse.
D. Urticaria: Urticaria (hives) can occur in anaphylaxis, but it is not as urgent as stridor, which indicates a compromised airway.
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Correct Answer is ["A","C","E"]
Explanation
A. In patients who have renal disease. Diuretics can be used in renal disease to help manage fluid overload, although caution is needed based on the specific renal condition.
B. In patients who have fluid retention during pregnancy. Diuretics are typically avoided during pregnancy unless absolutely necessary due to potential risks to the fetus.
C. In patients with heart failure. Diuretics are a cornerstone of treatment for heart failure, helping to reduce fluid overload and improve symptoms.
D. In patients who are obese. While diuretics can be used for conditions associated with obesity, they are not specifically recommended for obesity alone without other indications.
E. In patients who have hypertension. Diuretics are commonly prescribed as first-line treatment for hypertension, helping to reduce blood volume and lower blood pressure.
Correct Answer is C
Explanation
A. Urine-specific gravity: While urine-specific gravity can provide information on kidney function, it does not specifically measure renal impairment or disease progression, especially in SLE.
B. Serum potassium: Serum potassium levels can be affected by renal function but are not a direct indicator of renal health and can be influenced by many other factors.
C. Serum creatinine: Serum creatinine is a more reliable indicator of renal function, as it reflects how well the kidneys are filtering waste. In clients with SLE, kidney involvement is a common complication.
D. Serum sodium: Serum sodium levels do not directly indicate renal function, though kidney impairment can impact electrolyte levels.