A nurse is collecting data from a client following a bee sting. Which of the following findings can indicate an anaphylactic reaction to the venom?

Nausea and vomiting

Generalized edema

Bradycardia

Urticaria

Answer and Explanation

The Correct Answer is B

A.   Common allergic reactions but not specific to anaphylaxis.
B.   Can be a sign of anaphylaxis, reflecting a systemic allergic response.
C.   Anaphylaxis is more commonly associated with tachycardia.
D.   Hives are a common allergic reaction and can occur in anaphylaxis, but they are not specific to it.

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Correct Answer is ["B","C","G","H"]

Explanation

A. Providing oxygen at 6 L/min via nasal cannula is not indicated based on the information provided. The client denies shortness of breath, and vital signs are within normal limits.
B. Applying cold compresses to joints can help reduce swelling and alleviate pain in the extremities.
C. Performing passive range of motion (ROM) exercises is appropriate to maintain joint flexibility and prevent contractures.
D. Administering IV fluids is not explicitly indicated based on the information provided. Fluid management should be individualized based on the client's condition and underlying factors.
E. Obtaining consent for a blood transfusion is not necessary unless the client has severe anemia or bleeding.
F. Restricting fluid intake to 1,400 mL/day may cause dehydration and electrolyte imbalance.
G. Administering meperidine (a narcotic analgesic) may be considered for pain relief.
H. Encouraging bedrest is appropriate to minimize joint stress and promote healing, especially when there is pain and swelling in the extremities.

A. A client who has pneumonia after being on a ventilator B. A client who has a bladder infection and has an indwelling urinary catheter C. A client who has a surgical site infection D. A client who has influenza acquired from a coworker E. A client who has an infection at their central line insertion site

Correct Answer is ["A","B","C","E"]

Explanation

A. This an example of a health care-associated infections (HAIs), which are infections that patients acquire during the course of receiving health care treatment for other conditions. The patient acquired the pneumonia after being in a ventilator.
B. This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.
C. This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.
D. This is not an example of a health care-associated infection (HAI), because it is not acquired during the course of receiving health care treatment. This is an example of a community-acquired infection, which is an infection that a person gets from contact with people or sources outside of a health care setting.
E. This is an example of a HAI since the patient acquired the condition while receiving health care treatment for other conditions.

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A nurse is collecting data from a client following a bee sting. Which of the following findings can indicate an anaphylactic reaction to the venom?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","C","G","H"]

Explanation

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Explanation

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