A child is brought to the emergency room with symptoms of anaphylactic shock. Which of the following cues would be most indicative of anaphylactic shock?
Nausea and vomiting
wheezing and difficulty breathing
Fever and chills
Hives and itching
The Correct Answer is B
A. Nausea and vomiting can occur in anaphylactic shock but are not the most indicative symptoms.
B. Wheezing and difficulty breathing are hallmark signs of anaphylactic shock due to airway constriction and bronchoconstriction.
C. Fever and chills are not typically associated with anaphylactic shock.
D. Hives and itching can occur in anaphylactic shock but are not the most indicative symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Intussusception typically presents with a palpable, sausage-shaped mass in the abdomen and stools mixed with blood and mucus.
B. Tracheoesophageal fistula presents with respiratory distress and may involve aspiration, but it does not typically present with abdominal mass or bloody stools.
C. Hypertrophic pyloric stenosis presents with projectile vomiting and may cause dehydration but does not typically present with bloody stools.
D. Inguinal hernia presents with a bulge in the groin area but is not typically associated with bloody stools or abdominal mass.
Correct Answer is C
Explanation
A. Administering opioids for pain may be necessary, but they should be given cautiously due to the risk of respiratory depression and should be prescribed by the healthcare provider.
B. Applying bilateral wrist restraints is not typically indicated post-cleft palate repair and may restrict the child unnecessarily.
C. Implementing a soft diet is appropriate post-cleft palate repair to minimize trauma to the surgical site and promote healing.
D. Offering fluids through a straw may increase the risk of negative pressure in the oral cavity and disrupt the surgical repair; fluids should be offered using appropriate methods recommended by the healthcare provider.
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