A nurse is assisting in the care of a toddler whose caregivers have questions about allergies. Which of the following should the nurse identify as the most common allergic reaction in children?
Allergic rhinitis
Systemic reaction
Hives
Anaphylaxis
The Correct Answer is A
A. Allergic rhinitis. Allergic rhinitis is the most common allergic reaction in children, often triggered by environmental allergens such as pollen, dust mites, and pet dander. It presents with symptoms like sneezing, nasal congestion, runny nose, and itchy eyes, affecting a large number of children worldwide.
B. Systemic reaction. Systemic allergic reactions, which affect multiple organ systems, are less common than localized reactions such as allergic rhinitis. They are more severe but do not occur as frequently in children as mild to moderate allergic responses.
C. Hives. Hives (urticaria) are a common allergic skin reaction, often triggered by food, medications, or insect stings. However, while common, they occur less frequently than allergic rhinitis, which is a more persistent condition.
D. Anaphylaxis. Anaphylaxis is a severe and life-threatening allergic reaction, but it is relatively rare compared to allergic rhinitis. It requires immediate medical intervention and is most commonly triggered by food allergies, insect stings, or medications.
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Related Questions
Correct Answer is C
Explanation
A. Suppression of pro-inflammatory cytokines. Psoriasis is driven by an increase, not suppression, of pro-inflammatory cytokines like TNF-α, IL-17, and IL-23. These cytokines trigger excessive skin cell proliferation and inflammation.
B. Increased production of sebum. Sebum production is linked to conditions like seborrheic dermatitis and acne, not psoriasis. Psoriasis is an autoimmune disorder rather than a condition caused by oil overproduction.
C. Overactivation of T-cells. Psoriasis is an immune-mediated disorder where overactive T-cells attack healthy skin cells, leading to increased inflammation and rapid skin cell turnover. This results in the formation of thick, scaly plaques seen in psoriasis.
D. Decreased number of Langerhans cells in the dermis. Langerhans cells are antigen-presenting cells involved in immune defense. While they may play a role in immune regulation, psoriasis is primarily caused by T-cell hyperactivity rather than a reduction in Langerhans cells.
Correct Answer is B
Explanation
A. Administering the insulin injection quickly to minimize discomfort. Administering an injection quickly may reduce discomfort, but it does not address the emotional and psychological aspects of atraumatic care. The goal is to minimize fear and distress, not just physical pain.
B. Explaining the procedure in simple terms to the client before administering the insulin. Providing a clear, age-appropriate explanation helps reduce anxiety and fosters trust between the child and the nurse. Understanding what to expect allows the child to feel a sense of control, which is a key principle of atraumatic care.
C. Asking the client to look away during the injection to reduce anxiety. While looking away may help some children, it does not promote understanding or involvement in their care. Instead, explaining the procedure allows the child to develop coping strategies and feel more secure.
D. Using a larger needle to ensure accurate insulin delivery. Insulin is administered using a small-gauge needle to minimize pain. A larger needle is unnecessary and could increase discomfort, contradicting the principles of atraumatic care.
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