26. Which prescribed drugs would a nurse most likely give the client for respiratory stridor, with wheezing, and hypotension after a bee sting? Select all that apply.
26. Which prescribed drugs would a nurse most likely give the client for respiratory stridor, with wheezing, and hypotension after a bee sting? Select all that apply.
. Epinephrine.
. Diphenhydramine (Benadryl).
. Corticosteroid (Solu-Medrol).
. Furosemide (Lasix).
. Acetaminophen (Tylenol).
. Ranitidine (Zantac).
Test-Taking Tip
Anaphylaxis is the concern here. Know the first-line drugs for anaphylaxis. Eliminate the drugs used for diuretic and antipyretic effects.
Content Area: Adult Health, Respiratory; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes
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Answer 1 is correct because subcutaneous epinephrine is the first line of treatment. Clients with bee sting allergies should carry an EpiPen. Answer 2 is correct because Benadryl is a standard treatment for an allergic reaction. The client should chew the tablets. Answer 3 is correct because Solu-Medrol is a standard anti-inflammatory drug for anaphylaxis or an allergic reaction. Answer 4 is incorrect because the diuretic effects of Lasix will not help anaphylaxis. Answer 5 is incorrect because the analgesic or antipyretic effects of Tylenol will not help anaphylaxis. Answer 6 is incorrect because a histamine2 (H2) blocker such as Zantac is not a first line of defense, although the drug may be given.