NURS 2000 EXAM 4 QUESTIONS WITH
COMPLETE SOLUTIONS
Which medications are given prophylactically to prevent hypersensitivity reactions? -
Correct Answers -Antihistamines and NSAIDs
Which antihisttimine is generally used to prevent hypersensitivity reactions? - Correct
Answers -Diphenhydramine (benadryl)
What are the cardinal signs and symptoms of inflammation? - Correct Answers -
redness, swelling, decreased function, pus or drainage
What are the two most dangerous type 1 hypersensitivity responses? - Correct Answers
-Angioedema and Anaphylaxis
A patient presents with swelling of the lips, face, and neck. What is your nursing
priority? - Correct Answers -airway
What are the most common causes of angioedema? - Correct Answers -NSAIDs and
ACEIs
What population is most at risk for angioedema? - Correct Answers -African Americans
True or false: there are no specific diagnostic tests for angioedema. - Correct Answers -
True
When might intubation be necessary for a patient with angioedema? - Correct Answers
-When they cannot swallow, feel a lump in their throat, or stridor can be heard.
True or false: it is unexpected for a patient to feel anxious during angioedema. - Correct
Answers -False
How long should a nurse continue therapy for angioedema after symptoms subside? -
Correct Answers -2-6 hours, depending on the half life of the cause
What is anaphylaxis? - Correct Answers -Rapid systemic response to allergen that
affects the entire body
, What medications are used to treat angioedema? - Correct Answers -Corticosteroids,
Epi, FFP (fresh frozen plasma), and bronchodilators
True or false: you do not have to worry about type matching before giving FFP. -
Correct Answers -False
What re the most common inpatient causes of anaphylaxis? - Correct Answers -
Contrast dye and medications
What are the most common outpatient causes of anaphylaxis? - Correct Answers -Food
allergens and bee stings
Why is anaphylaxis so dangerous? - Correct Answers -It causes widespread blood
vessel dilation, decreased cardiac output, and bronchoconstriction
A patient is admitted with a rapid, weak, irregular pulse, decreased breath sounds, and
a blood pressure of 80/49. They had abdominal cramping half an hour ago,after eating
peanuts, and reported a feeling of impending doom. What is their likely diagnosis? -
Correct Answers -Anaphylaxis
What are the three criteria for anaphylaxis? - Correct Answers -1: onset within minutes
of mouth swelling, hives, flushing, and breathing issues.
2. Same with GI symptoms
3. Same with hypotension below 90 systolic
True or false: A patient can have angioedema AND anaphylaxis - Correct Answers -
True
What is your FIRST action for a patient with suspected anaphylaxis? - Correct Answers
-Administer Epi.
What is the major factor in fatal outcomes for anaphylaxis? - Correct Answers -Delay in
administration of Epi.
True or false: you always call a rapid for anaphylaxis? - Correct Answers -True
What type of O2 is given for anaphylaxis? - Correct Answers -NRB @100%
How high should the bed be kept of an anaphylactic patient is hypotensive? - Correct
Answers -10 degrees
How often should epi be given during anaphylaxis? - Correct Answers -Ever 5-15
minutes
COMPLETE SOLUTIONS
Which medications are given prophylactically to prevent hypersensitivity reactions? -
Correct Answers -Antihistamines and NSAIDs
Which antihisttimine is generally used to prevent hypersensitivity reactions? - Correct
Answers -Diphenhydramine (benadryl)
What are the cardinal signs and symptoms of inflammation? - Correct Answers -
redness, swelling, decreased function, pus or drainage
What are the two most dangerous type 1 hypersensitivity responses? - Correct Answers
-Angioedema and Anaphylaxis
A patient presents with swelling of the lips, face, and neck. What is your nursing
priority? - Correct Answers -airway
What are the most common causes of angioedema? - Correct Answers -NSAIDs and
ACEIs
What population is most at risk for angioedema? - Correct Answers -African Americans
True or false: there are no specific diagnostic tests for angioedema. - Correct Answers -
True
When might intubation be necessary for a patient with angioedema? - Correct Answers
-When they cannot swallow, feel a lump in their throat, or stridor can be heard.
True or false: it is unexpected for a patient to feel anxious during angioedema. - Correct
Answers -False
How long should a nurse continue therapy for angioedema after symptoms subside? -
Correct Answers -2-6 hours, depending on the half life of the cause
What is anaphylaxis? - Correct Answers -Rapid systemic response to allergen that
affects the entire body
, What medications are used to treat angioedema? - Correct Answers -Corticosteroids,
Epi, FFP (fresh frozen plasma), and bronchodilators
True or false: you do not have to worry about type matching before giving FFP. -
Correct Answers -False
What re the most common inpatient causes of anaphylaxis? - Correct Answers -
Contrast dye and medications
What are the most common outpatient causes of anaphylaxis? - Correct Answers -Food
allergens and bee stings
Why is anaphylaxis so dangerous? - Correct Answers -It causes widespread blood
vessel dilation, decreased cardiac output, and bronchoconstriction
A patient is admitted with a rapid, weak, irregular pulse, decreased breath sounds, and
a blood pressure of 80/49. They had abdominal cramping half an hour ago,after eating
peanuts, and reported a feeling of impending doom. What is their likely diagnosis? -
Correct Answers -Anaphylaxis
What are the three criteria for anaphylaxis? - Correct Answers -1: onset within minutes
of mouth swelling, hives, flushing, and breathing issues.
2. Same with GI symptoms
3. Same with hypotension below 90 systolic
True or false: A patient can have angioedema AND anaphylaxis - Correct Answers -
True
What is your FIRST action for a patient with suspected anaphylaxis? - Correct Answers
-Administer Epi.
What is the major factor in fatal outcomes for anaphylaxis? - Correct Answers -Delay in
administration of Epi.
True or false: you always call a rapid for anaphylaxis? - Correct Answers -True
What type of O2 is given for anaphylaxis? - Correct Answers -NRB @100%
How high should the bed be kept of an anaphylactic patient is hypotensive? - Correct
Answers -10 degrees
How often should epi be given during anaphylaxis? - Correct Answers -Ever 5-15
minutes
