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 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.
Correct Answer is C
Explanation
Choice A rationale:
Requesting a prescription for an analgesic for the client is a part of conventional medical treatment.
Choice B rationale:
Checking the client’s oxygen saturation level is a part of conventional medical treatment.
Choice C rationale:
Encouraging the client to take slow, deep breaths can help manage pain and is a holistic nursing approach.
Choice D rationale:
Obtaining blood work from the client is a part of conventional medical treatment.
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.