Practice Quiz

CEN Practice Exam (Certified Emergency Nurse)

Category - Shock

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You are caring for a patient who has been stung by a bee. The patient has dyspnea, pruritis and localized swelling on the arm where he was stung. What would your priority intervention be for this patient?
  1. Remove the stinger.
  2. Place blankets over the patient.
  3. Listen for stridor and check the patient’s tongue for swelling.
  4. Put the patient in the Trendelenburg position.
Explanation
Answer: C - The priority for this patient would be to assess for stridor and swelling of the tongue. The patient is displaying signs of anaphylactic reaction and will need to be treated immediately. Stridor and tongue swelling are signs of impending airway obstruction. Epinephrine will need to be administered to correct the problem.
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