I completely understand that standpoint!
Original Message:
Sent: 7/19/2023 10:48:00 PM
From: Taria Lee
Subject: RE: Practice Test - Epinephrine Question
I got the question wrong because I think further assessment is necessary. Nausea is a presenting symptom of many health conditions. So is diaphoresis. I am responding to the question as it is written. I am trying not to assume anything that is not stated in the question. My thinking is that because the student has a known allergy to peanuts and is nauseous and diaphoretic that doesn't automatically mean anaphylaxis which is why further assessment would be necessary (in my mind). The question doesn't state that the student ate the peanut or even had contact. It just states that the student has a peanut allergy. Now if the question stated that the student presented with s/s such as rapid pulse, swelling, SOB, chest tightness, throat itching, etc, then sure. I just don't think nausea and diaphoresis are specific enough.
------------------------------
Taria Lee
Pembroke Pines, FL United States
------------------------------
Original Message:
Sent: 07-19-2023 22:26
From: Johnna Mckinley
Subject: Practice Test - Epinephrine Question
The following is an excerpt from the Mayo Clinic:
"Symptoms
An allergic response to peanuts usually occurs within minutes after exposure. Peanut allergy signs and symptoms can include:
- Skin reactions, such as hives, redness or swelling
- Itching or tingling in or around the mouth and throat
- Digestive problems, such as diarrhea, stomach cramps, nausea or vomiting
- Tightening of the throat
- Shortness of breath or wheezing
- Runny nose
Anaphylaxis: A life-threatening reaction
Peanut allergy is the most common cause of food-induced anaphylaxis, a medical emergency that requires treatment with an epinephrine (adrenaline) autoinjector (EpiPen, Auvi-Q, others) and a trip to the emergency room.
Anaphylaxis signs and symptoms can include:
- Constriction of airways
- Swelling of the throat that makes it difficult to breathe
- A severe drop in blood pressure (shock)
- Rapid pulse
- Dizziness, lightheadedness or loss of consciousness"
Original Message:
Sent: 7/19/2023 10:23:00 PM
From: Johnna Mckinley
Subject: RE: Practice Test - Epinephrine Question
Nausea and diaphoresis are both symptoms of a severe allergic reaction. Diaphoresis is also a sign of shock, which is life threatening. One purpose of epinephrine is to prevent anaphylaxis and death from anaphylaxis.
On Wed, Jul 19, 2023 at 9:19 PM "Stephanie Rossi, M.S.N., B.S. Nursing, DNP candidate, CSN-IL, CSN/P via" National Association of School Nurses <
Mail@connectedcommunity.org> wrote:
I just know after listening to the review and looking at the question that what they're looking for is give the Epi. My friends child died because...
| Warning: Do not forward this email. It has your user credentials embedded so that you are automatically logged into the community website when you click on links in the email. You are subscribed to "National Certification Exam Candidates" as jmckinley@scott.k12.ms.us. To change your subscriptions, go to My Subscriptions. To unsubscribe from this community discussion, go to Unsubscribe. |
|
|
Original Message:
Sent: 7/19/2023 10:19:00 PM
From: Stephanie Rossi, M.S.N., B.S. Nursing, DNP candidate, CSN-IL, CSN/P
Subject: RE: Practice Test - Epinephrine Question
I just know after listening to the review and looking at the question that what they're looking for is give the Epi. My friends child died because Epi was delayed - so I'm understandably sensitive to this. That's my full disclosure. ❤️
Original Message:
Sent: 7/19/2023 9:59:00 PM
From: Taria Lee
Subject: RE: Practice Test - Epinephrine Question
Would you consider nausea and diaphoresis to be an indication of decline or life threatening? Maybe epinephrine would be needed after further assessment? Maybe I'm reading too much into the question.
------------------------------
Taria Lee
Pembroke Pines, FL United States
Original Message:
Sent: 07-19-2023 21:49
From: Stephanie Rossi, M.S.N., B.S. Nursing, DNP candidate, CSN-IL, CSN/P
Subject: Practice Test - Epinephrine Question
Hi!
My understanding is you would administer Epi because two body systems are affected and they are declining overall. That is enough. Remember, they can die if you don't give it but you loose nothing by giving it! Give the Epi.
Hope that makes sense.
Stephanie
Original Message:
Sent: 7/19/2023 9:11:00 PM
From: Taria Lee
Subject: Practice Test - Epinephrine Question
I just completed practice test 2 and I am not so sure about one of the questions and answer (I am not sure if I am allowed to state the question number). The question is about a student that has a peanut allergy that reports nausea and is diaphoretic. No other signs or symptoms are provided in the question. I am not sure why the correct response would be to administer epinephrine and immediately call 911 if those are the only two symptoms. If I am answering the question solely based on the two symptoms of nausea and being diaphoretic and in the absence of more serious S/S such as dyspnea, chest or throat tightness, or facial swelling etc, then my first response would not be to administer epinephrine simply because the student has a known allergy to peanut.
Can anyone weigh in on this, please?
------------------------------
Taria Lee
Pembroke Pines, FL United States
------------------------------