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 C

Explanation

A. Shock typically results in tachycardia as the body compensates for decreased perfusion.
B. In shock, there is often decreased urine output due to decreased perfusion to the kidneys.
C. A hallmark sign of shock is low blood pressure as a result of inadequate tissue perfusion.
D. Bowel sounds may be diminished rather than hyperactive in cases of shock.

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at risk for shock. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about health care-associated infections (HAIs). Which of the following examples should the nurse include as examples of HAIS?

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

Explanation

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min.The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

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