A nurse is teaching a client about reducing the risk for osteoporosis. Which of the following statements by the client indicates an understanding of possible anaphylaxis?
A feeling of swelling in the feet
Pain at the injection site
A sudden decrease in heart rate
A sharp decrease in blood pressure
The Correct Answer is D
A. A feeling of swelling in the feet: Swelling in the feet can be caused by various factors such as fluid retention, circulatory issues, or certain medical conditions like venous insufficiency. It is not a typical symptom of anaphylaxis, which usually involves more generalized symptoms such as hives, itching, swelling of the face or throat, difficulty breathing, and a drop in blood pressure.
B. Pain at the injection site: Pain at the injection site is a common side effect of receiving an injection or medication. It occurs due to tissue irritation or trauma from the needle. While allergic reactions can cause localized redness, swelling, or itching at the injection site, severe pain alone is not a hallmark symptom of anaphylaxis.
C. A sudden decrease in heart rate: Anaphylaxis typically leads to an increase in heart rate (tachycardia) rather than a decrease. This increase in heart rate is a response to the body's attempt to compensate for the drop in blood pressure caused by anaphylaxis. Bradycardia (a decrease in heart rate) is not a typical feature of anaphylaxis unless it occurs very late in a severe reaction due to profound circulatory collapse.
D. A sharp decrease in blood pressure: This choice is indicative of an understanding of possible anaphylaxis. Anaphylaxis can cause a rapid and severe drop in blood pressure, known as hypotension. This drop in blood pressure is often a key feature of anaphylaxis and can lead to symptoms such as dizziness, fainting, confusion, and shock.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","F","G"]
Explanation
A. Antibiotic medication can be taken with or without food.
This statement is not specifically relevant to the discharge teaching for this client with pneumonia. However, the nurse should provide specific instructions regarding the administration of the antibiotic (cefazolin), which is typically administered intravenously in a healthcare setting and may not be taken orally at home.
B. The steroid dose will decrease each day.
Explanation: This information ensures that the client and caregiver are aware of the tapering regimen for the steroid medication (prednisone), which is essential to prevent adrenal insufficiency and other potential adverse effects associated with abrupt discontinuation.
C. Adjust the oxygen flow rate as needed to ease breathing.
Explanation: This information educates the client and caregiver on how to manage oxygen therapy effectively at home, ensuring optimal oxygen delivery and respiratory support.
D. Antibiotic therapy should be taken for 10 days.
The duration of antibiotic therapy for pneumonia depends on the specific antibiotic prescribed and the severity of the infection. The nurse should provide clear instructions based on the healthcare provider's prescription and guidelines.
E. Store the oxygen cylinder wrench with the oxygen tank.
While storing the oxygen cylinder wrench with the oxygen tank is a good practice, it is not directly related to discharge teaching for this client with pneumonia.
F. Steroid medication should be taken in the morning.
Explanation: Taking steroid medication (prednisone) in the morning helps minimize disruption of the body's natural cortisol rhythm and reduces the risk of insomnia associated with steroid use.
G. Ensure the oxygen delivery system is at least 8 feet from any heat source.
Explanation: Proper storage and placement of the oxygen delivery system reduce the risk of fire hazards associated with oxygen therapy, promoting safety within the home environment.
Correct Answer is A
Explanation
A. Garlic: Garlic supplements have been studied for their potential benefits in reducing blood pressure. Some research suggests that garlic may have a modest effect in lowering blood pressure, although results have been mixed. It contains compounds that may promote relaxation of blood vessels and improve circulation, potentially leading to a reduction in blood pressure.
B. Peppermint oil: Peppermint oil is not typically used as a complementary therapy for hypertension. While it may have some health benefits, such as relieving indigestion and nausea, there is limited evidence to suggest that it has a significant impact on blood pressure.
C. Licorice root: Licorice root has been associated with raising blood pressure in some individuals due to its effect on cortisol levels. It contains glycyrrhizin, which can cause sodium retention and potassium loss, potentially leading to increased blood pressure. Therefore, it is not recommended for individuals with hypertension.
D. Chamomile: Chamomile is often used for its calming properties and may help promote relaxation and reduce stress, but there is limited evidence to suggest that it has a significant effect on blood pressure. It is not typically recommended as a primary complementary therapy for hypertension.
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