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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The medication should be dropped into the conjunctival sac, which is the space between the lower eyelid and the eyeball. This is the correct method for administering ophthalmic drops.
Choice B rationale:
The eyedropper should not touch any part of the eye, including the sclera, to avoid contamination and potential infection.
Choice C rationale:
It is not necessary to don sterile gloves when administering ophthalmic drops. Clean gloves or hand hygiene is sufficient.
Choice D rationale:
Rubbing the eye after instilling medication can cause irritation and may disperse the medication, reducing its effectiveness.
Correct Answer is C
Explanation
Choice A rationale:
This statement is incorrect because the pulmonary vein carries oxygenated blood from the lungs to the left atrium, not from the left ventricle.
Choice B rationale:
This statement is incorrect because the pulmonary artery carries deoxygenated blood from the right ventricle to the lungs, not from the left ventricle.
Choice C rationale:
This statement is correct. When the left ventricle contracts, it pushes blood through the aortic semilunar valve into the aorta, the largest artery in the body.
Choice D rationale:
This statement is incorrect because the inferior vena cava carries deoxygenated blood from the lower half of the body to the right atrium, not from the left ventricle.
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