Certified Emergency Nurse (CEN) Practice Test 2025 – All-In-One Study Guide for Exam Success!

Question: 1 / 400

When should epinephrine be repeated in severe anaphylaxis?

Every 5-10 minutes

Every 15-20 minutes

In cases of severe anaphylaxis, the administration of epinephrine is critical to counteract the life-threatening reactions associated with this condition. Repeated doses of epinephrine may be necessary to effectively manage the symptoms and prevent progression to more severe complications.

Epinephrine can be repeated every 5-15 minutes depending on the clinical situation. Specifically, the recommendation is to administer a second dose if symptoms do not improve or begin to worsen. While some guidelines may highlight a safe interval that can reach up to 15-20 minutes, the key factor is to closely monitor the patient's response. The option of this time frame allows for adequate assessment of the effectiveness of the initial dose while ensuring timely intervention if further treatment is necessary.

In environments such as emergency departments or during acute anaphylactic events, timely reassessment can dictate the need for additional doses. Therefore, this option reflects a cautious yet responsive approach to managing severe anaphylaxis, balancing safety with the urgency required in these critical situations. The importance of understanding the need for timely administration while monitoring the patient underscores why this particular answer is the most appropriate choice.

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Once after 30 minutes

Only if symptoms worsen

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