A nurse in the emergency department is collecting data from a client who was admitted following a bee sting.
Which of the following findings should the nurse expect in a client who is experiencing anaphylaxis?

Increased deep tendon reflexes.

Erythema of the skin.

Bradycardia.

Hypotension.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Increased deep tendon reflexes are not typically associated with anaphylaxis. This is more commonly seen in conditions affecting the nervous system.

Choice B rationale:

While erythema of the skin can occur in anaphylaxis, it is not the most indicative symptom of this condition.

Choice C rationale:

Bradycardia is not typically associated with anaphylaxis. Anaphylaxis is more likely to cause tachycardia, or a rapid heart rate.

Choice D rationale:

Hypotension, or low blood pressure, is a common symptom of anaphylaxis. This occurs due to widespread vasodilation in response to the allergen.

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Correct Answer is B

Explanation

Choice A rationale:

Changing soiled linens daily is important, but it is not the most effective way to prevent the spread of pathogens.

Choice B rationale:

Hand hygiene is the single most effective way to prevent the spread of pathogens. It should be performed before and after every client interaction, before and after any procedure, and after any contact with potentially infectious material.

Choice C rationale:

Discarding used syringes in appropriate containers is important for safety, but it does not directly prevent the spread of pathogens.

Choice D rationale:

Properly disposing of contaminated equipment is important, but hand hygiene is more effective at preventing the spread of pathogens.

A. Metabolic acidosis. B. Metabolic alkalosis. C. Respiratory alkalosis. D. Respiratory acidosis.

Correct Answer is B

Explanation

Choice A rationale:

Metabolic acidosis would likely present with rapid, deep breathing (Kussmaul respirations), not slow and shallow breathing.

Choice B rationale:

The client’s symptoms of vomiting (which can cause a loss of stomach acid), dizziness, palpitations, and numbness and tingling in the extremities and around the mouth are consistent with metabolic alkalosis.

Choice C rationale:

Respiratory alkalosis would likely present with rapid breathing, not slow and shallow breathing.

Choice D rationale:

Respiratory acidosis would likely present with rapid, shallow breathing, not slow and shallow breathing.

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A nurse in the emergency department is collecting data from a client who was admitted following a bee sting.Which of the following findings should the nurse expect in a client who is experiencing anaphylaxis?

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Naxlex Comprehensive Predictor Exams

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Explanation

Correct Answer is B

Explanation

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A nurse in the emergency department is collecting data from a client who was admitted following a bee sting.
Which of the following findings should the nurse expect in a client who is experiencing anaphylaxis?