CH. 20

Question 1

Answers to Assessment in Action Questions

Answer 1

Answers to Assessment in Action Questions

1. Answer: C urticaria.
2. Answer: C Treat for shock.
3. Answer: A Histamine
4. Answer: B Epinephrine
5. Answer: A A high-pitched, whistling sound caused by bronchoconstriction
6. Answer: Remove the bracelet. As swelling increases, there is a risk that the jewelry will become constrictive and difficult to remove later. This could result in reduced perfusion to the extremity.
7. Answer: You should agree to the use of albuterol, as the patient has a history of asthma and exhibits wheezing, which is an indication of lower airway obstruction. Because the primary effect of albuterol is bronchodilation, the inclusion of this treatment could be beneficial.
8. Answer: This is a normal side effect of epinephrine. The tachycardia is the result of the drug’s stimulation of the body’s stress response, and therefore the patient experiences an increased heart rate, increased workload on the heart, and increased demand for oxygen by the heart. Therefore, you should reassure the patient that this effect is normal.
9. Answer: Some examples include: sepsis (a rash may indicate wide-spread infection), or an anxiety attack (the patient is anxious and breathing rapidly). In an adult patient, pulmonary embolus would also be a possibility, though it is not very likely in a child.