A 38-year-old woman was bitten by fire ants while at the park. Your primary assessment reveals that she
is semiconscious; has labored breathing; and has a rapid, thready pulse. She has a red rash on her entire
body, and her face is swollen. You should:
- correct answer assist her ventilations with 100% oxygen.
A raised, swollen, well-defined area on the skin that is the result of an insect bite or sting is called:
- correct answer a wheal.
Chemicals that are responsible for the signs and symptoms of an allergic reaction to a bee sting include:
- correct answer histamines and leukotrienes.
Common signs and symptoms of an allergic reaction include all of the following, EXCEPT:
- correct answer drying of the eyes.
Epinephrine is indicated for patients with an allergic reaction when:
- correct answer wheezing and hypotension are present.
Immediately after giving an epinephrine injection, you should:
- correct answer properly dispose of the syringe.
The effects of epinephrine are typically observed within _________ following administration.
- correct answer 1 minute
The foreign substance responsible for causing an allergic reaction is called a(n):
- correct answer allergen.
The stinger from a honeybee should be:
- correct answer scraped away from the skin.
,Two of the MOST common signs of anaphylaxis are:
- correct answer urticaria and angioedema.
Urticaria is the medical term for:
- correct answer hives.
When administering epinephrine via auto-injector, you should hold the injector in place for:
- correct answer 3 seconds.
When an auto-injector is used to give epinephrine, the primary injection site is the:
- correct answer lateral portion of the thigh.
Which of the following MOST accurately defines an allergic reaction?
- correct answer An exaggerated immune system response to any substance
Which of the following negative effects of anaphylaxis will be the MOST rapidly fatal if not treated
immediately?
- correct answer Upper airway swelling
Which of the following patients would MOST likely have a delayed onset of an allergic reaction?
- correct answer A 45-year-old male who ingested penicillin
Which of the following sounds indicates swelling of the upper airway?
- correct answer Stridor
Which of the following statements regarding fire ants is correct?
- correct answer Fire ants often bite a person repeatedly.
Which of the following would MOST likely provide clues regarding the source of a patient's allergic
reaction?
- correct answer The environment in which the patient is found
, While auscultating breath sounds of a patient who was stung multiple times by a yellow jacket, you hear
bilateral wheezing over all lung fields. This indicates:
- correct answer narrowing of the bronchioles in the lungs.
A 19-year-old female was stung multiple times on the legs by fire ants. She states that she is allergic to
fire ants, but does not carry her own epinephrine. The patient is conscious and alert and complains of
pain to the area of the bites. Her blood pressure is 122/70 mm Hg, her pulse is 100 beats/min and
strong, and her respirations are 18 breaths/min and unlabored. You should:
- correct answer administer oxygen and transport her to the hospital.
A 73-year-old man presents with a generalized rash, which he thinks may have been caused by an
antibiotic that he recently began taking. He has a history of coronary artery disease, hypertension, and
emphysema. He is conscious and alert, his blood pressure is 144/94 mm Hg, and his pulse is 64
beats/min and regular. You auscultate his breath sounds and hear scattered wheezing, although he is
not experiencing respiratory distress. You should:
- correct answer administer oxygen if needed, transport the patient, and monitor him for signs of
deterioration.
Anaphylaxis is MOST accurately defined as a(n):
- correct answer extreme allergic reaction that may affect multiple body systems.
Common side effects of epinephrine include all of the following, EXCEPT:
- correct answer drowsiness.
Most patients who die of anaphylaxis do so within the first ____ minutes following exposure.
- correct answer 30
Which of the following statements regarding epinephrine administration via the intramuscular (IM)
route is correct?
- correct answer The 1:1000 concentration should be used.
You respond to the residence of a 55-year-old woman with a possible allergic reaction to peanuts that
she ate approximately 30 minutes ago. The patient is conscious and alert, but has diffuse urticaria and
the feeling that she has a lump in her throat. As your partner applies oxygen to the patient, you should:
- correct answer ask her if she has prescribed epinephrine.