A 21-year-old patient with a history of asthma presents with sudden onset shortness of breath and difficulty breathing. Which characteristics would help the nurse practitioner make a differential diagnosis of an anaphylactic reaction?
Crackles on lung auscultation
Diffuse bilateral opacities on chest X-ray
Low-grade fever and facial pain
Orofacial swelling, a rash, and itching
The Correct Answer is D
Choice A reason: Crackles are indicative of pulmonary edema or infection, not typically anaphylaxis.
Choice B reason: Diffuse bilateral opacities suggest pneumonia or acute respiratory distress syndrome, not anaphylaxis.
Choice C reason: Low-grade fever and facial pain are more consistent with sinus infection or upper respiratory illness.
Choice D reason: This is correct. Anaphylaxis presents with sudden onset of symptoms including orofacial swelling, urticaria or rash, and pruritus, often accompanied by respiratory compromise and hypotension.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This statement is correct because PPIs are most effective when taken once daily, ideally 30 to 60 minutes before the first meal of the day. This timing maximizes acid suppression and helps promote ulcer healing.
Choice B reason: This statement is also correct because H. pylori infection is a common underlying cause of peptic ulcer disease, and antibiotics are prescribed to eradicate this bacterium, addressing the root cause.
Choice C reason: This statement indicates a need for further teaching. NSAIDs can impair gastric mucosal defenses and increase acid production, which can exacerbate ulcer formation or prevent healing. Patients with peptic ulcers should avoid NSAIDs unless specifically approved by their healthcare provider and often need alternative pain management.
Choice D reason: This statement is correct because lifestyle modifications, such as avoiding alcohol, smoking, and certain medications, help prevent recurrence of ulcers and support overall gastrointestinal health.
Correct Answer is C
Explanation
Choice A reason: Hyperhidrosis is a known dose-dependent side effect of SSRIs, particularly paroxetine, making this statement correct.
Choice B reason: Age-related changes in drug metabolism and hormone levels may reduce SSRI efficacy in women over 50, making this statement accurate.
Choice C reason: This statement is not correct. While escitalopram may have a slightly lower risk of hyperhidrosis, switching without first evaluating dose adjustment or other interventions is not the standard first approach. The focus should be on managing side effects while maintaining therapeutic efficacy.
Choice D reason: Reducing the dose and considering adjunctive therapies while evaluating hormonal status is an appropriate, evidence-based approach to managing SSRI-induced hyperhidrosis in this patient population.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
