The nurse knows the following are symptoms of anaphylaxis and they need to intervene quickly.
(Select All that Apply.)
Hypotension
Bradycardia
Hypertension
Tachycardia
Wheezing
Correct Answer : A,D,E
A. Hypotension: A rapid drop in blood pressure is a hallmark symptom of anaphylaxis.
B. Bradycardia: Bradycardia is not a common finding in anaphylaxis. Tachycardia (rapid heart rate) is more typical due to compensatory mechanisms.
C. Hypertension: Anaphylaxis usually causes hypotension due to vascular leakage and vasodilation.
D. Tachycardia: Tachycardia is commonly seen in anaphylaxis as the heart attempts to compensate for the drop in blood pressure.
E. Wheezing: Wheezing is a sign of bronchospasm and respiratory distress, which is a common feature of anaphylaxis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "You need to stay on antibiotics for the rest of your life."Lifelong antibiotic therapy is not standard post-transplant care, though immunosuppressants are required.
B. "You should avoid people that are sick to decrease the risk of you getting an infection." Immunosuppressive medications used post-transplant increase the risk of infections.
C. "You need to stay on antihistamines the rest of your life."Antihistamines are not a routine part of post-transplant care.
D. "You can drink as much alcohol as you want."Alcohol should be strictly avoided to protect the transplanted liver.
Correct Answer is A
Explanation
Request that the surgeon prescribe a different antibiotic: Cephalexin is a cephalosporin, and there is a risk of cross-reactivity in clients with a history of anaphylaxis to penicillin.
Ask the provider to prescribe diphenhydramine as a precaution: While antihistamines may alleviate mild allergic reactions, they are not a substitute for avoiding high-risk medications in clients with anaphylaxis history.
Confirm with the client that the reaction he had was truly anaphylaxis: The client's medical record already documents anaphylaxis, which should be taken seriously without further questioning.
Administer the medication: This action disregards the client's history of anaphylaxis to a related drug class.
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