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 C
Explanation
Choice A rationale:
The thickest part of the heart is not the upper chambers but the lower chambers, specifically the left ventricle. This is because it needs to pump blood to the entire body.
Choice B rationale:
Blood leaves the heart through the lower chambers, or ventricles, not the upper chambers.
Choice C rationale:
Blood enters the heart through the upper chambers, or atria. This is where deoxygenated blood from the body and oxygenated blood from the lungs first enter the heart.
Choice D rationale:
The term “ventricles” refers to the lower chambers of the heart, not the upper chambers.
Correct Answer is C
Explanation
Choice A rationale:
An angle of 60° is not typically used for IM injections. It is more commonly used for subcutaneous injections.
Choice B rationale:
An angle of 45° is also more commonly used for subcutaneous injections, not IM injections.
Choice C rationale:
An angle of 90° is the correct angle for an IM injection into the ventrogluteal muscle. This allows for the needle to penetrate deep into the muscle tissue.
Choice D rationale:
An angle of 75° is not typically used for any type of injection. It could potentially cause injury to the client if used for an IM injection.
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