Types and Management of Shock · NCLEX Exam

A patient presents with anaphylactic shock (a subtype of distributive shock). Which immediate intervention is a priority?

  1. Intramuscular epinephrine with high-flow oxygen
  2. Oral antihistamines and reassurance only
  3. Long-term antibiotic therapy
  4. Delayed airway management after observation
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Correct answer: Intramuscular epinephrine with high-flow oxygen

Anaphylactic shock requires immediate intramuscular epinephrine plus high-flow oxygen to reverse vasodilation, support perfusion, and protect the airway. Antihistamines are adjuncts only, antibiotics are irrelevant, and airway management must not be delayed.

Difficulty: Medium Question 14 of 20

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