Comprehensive Nursing Pharmacology Q 264

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The nurse is caring for a client receiving chemotherapy when an anaphylactic reaction occurs from the medication. The nurse should take which actions? Select all that apply.

  

     A. Stop the medication.

     B. Remove the IV line.

     C. Administer Oxygen.

     D. Administer epinephrine.

     E. Positioned the client in a reverse Trendelenburg position.

    

Correct Answer: A, C, & D

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During an anaphylactic reaction, the medication is immediately stopped. The nurse assesses the respiratory status and monitors the client’s vital signs. The physician is contacted immediately. and an emergency medication is given such as epinephrine.

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Option B: The IV line is not removed because IV access is required to administer emergency IV medications.

Option E: The client’s head is not lowered but elevated to improve ventilation.

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