A nurse is assessing a client following the administration of an initial dose of captopril. Which of the following findings indicates an anaphylactic response?
Fever
Laryngeal edema
Hypertension
Arrythmia
The Correct Answer is B
A. Fever is not typically associated with an anaphylactic reaction, which is a severe allergic response.
B. Laryngeal edema indicates swelling of the larynx, a hallmark of anaphylaxis that can obstruct the airway and require immediate intervention.
C. Hypertension is not a sign of anaphylaxis; rather, anaphylactic shock is usually associated with hypotension.
D. Arrhythmia may occur with severe allergic reactions but is not the primary indicator of anaphylaxis compared to laryngeal edema.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. During an acute asthma attack, bronchoconstriction and mucus production prevent effective exhalation of carbon dioxide, leading to its retention and respiratory distress.
B. Acute loss of alveolar elasticity is more related to conditions like emphysema, not acute asthma.
C. An asthma attack involves an exaggerated inflammatory response, not suppression.
D. Increased responsiveness of airways to allergens is a characteristic of asthma, not decreased responsiveness.
Correct Answer is B
Explanation
A. Flexible sigmoidoscopy is used to examine the lower part of the colon and is not relevant to diagnosing GERD.
B. Barium swallow is a diagnostic test that allows visualization of the esophagus, stomach, and duodenum to identify reflux and other abnormalities.
C. Paracentesis is a procedure to remove fluid from the peritoneal cavity and is not related to diagnosing GERD.
D. Chest x-ray is not specific for diagnosing GERD, though it can help rule out other conditions.
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