American Association of Critical-Care Nurses (AACN) Certification Practice Test

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Which treatment is commonly utilized for anaphylactic shock?

  1. Epinephrine and volume replacement

  2. Vasopressors and oxygenation support

  3. Colloid infusions

  4. Mechanical ventilation

The correct answer is: Epinephrine and volume replacement

The treatment commonly utilized for anaphylactic shock is epinephrine and volume replacement. Anaphylactic shock is a life-threatening allergic reaction that can occur rapidly and requires immediate intervention. Epinephrine is the first-line treatment as it acts quickly to counteract the severe effects of anaphylaxis. It works by constricting blood vessels to raise blood pressure, dilating airways to alleviate breathing difficulties, and reducing swelling and hives. Administering epinephrine promptly can significantly improve patient outcomes. Volume replacement is also important in managing anaphylactic shock, as patients often experience a sudden drop in blood pressure due to vasodilation and fluid shifting. Providing intravenous fluids helps restore circulatory volume, supports blood pressure, and improves organ perfusion. While other treatment options may be relevant in different clinical situations, they do not serve as primary interventions for anaphylactic shock. Vasopressors, for instance, are more commonly used in cases of septic shock or cardiogenic shock to increase blood pressure, but they are not the first choice for anaphylaxis. Colloid infusions might be administered in various shock states as a fluid resuscitation strategy, but they are not specifically indicated in anaphylaxis. Mechanical ventilation is reserved for