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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?

A.

Vomiting

B.

Stridor

C.

Hypertension

D.

Urticaria

Answer and Explanation

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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View Related questions

Correct Answer is D

Explanation

A. Digoxin: Digoxin requires caution with elevated potassium levels, as hyperkalemia can increase the risk of digoxin toxicity. A potassium level of 5.3 mEq/L is borderline high, so it should be used cautiously.

B. Lisinopril: Lisinopril, an ACE inhibitor, can also increase potassium levels. It may not be the best choice for this client due to the elevated potassium.

C. Potassium iodide: Potassium iodide would further increase the client's potassium level and is contraindicated.

D. Furosemide: Furosemide is a loop diuretic that can help to lower serum potassium levels by promoting potassium excretion. Therefore, it is appropriate for this client with an elevated potassium level.

Correct Answer is B

Explanation

A. Danazol: Danazol is primarily used for conditions like endometriosis and is not indicated for BPH treatment.

B. Finasteride: Finasteride is a 5-alpha-reductase inhibitor that reduces the size of the prostate and is commonly prescribed for managing symptoms of BPH.

C. Fluoxymesterone: Fluoxymesterone is an anabolic steroid and is not used for treating BPH.

D. Methyltestosterone: Methyltestosterone is also an anabolic steroid and does not address the symptoms of BPH.

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