What manifestation is expected due to the histamine release in an allergic reaction?
Bradycardia
Dry skin
Pallor
Urticaria
The Correct Answer is D
Rationale:
A. Histamine release during an allergic reaction typically causes vasodilation and increased capillary permeability, which can lead to tachycardia as the heart compensates for hypotension. Bradycardia is not expected in a typical allergic reaction.
B. Histamine release usually causes vasodilation, redness, and edema, not dryness. Dry skin is unrelated to the acute effects of histamine in allergic reactions.
C. Pallor results from reduced blood flow or vasoconstriction, which is opposite to histamine’s effect. Histamine causes dilation of blood vessels, leading to redness, not pallor.
D. Urticaria, or hives, is a classic manifestation of histamine release. Histamine increases capillary permeability, allowing fluid to leak into the surrounding tissues, producing raised, itchy, red wheals. This is a hallmark feature of type I hypersensitivity reactions, such as allergic responses to foods, medications, or insect stings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Stage 1 pressure ulcer: This stage presents as non-blanchable erythema (redness) of intact skin, usually over a bony prominence. The skin is still intact, and there is no open wound. While the area may be painful, firm, soft, warmer, or cooler than surrounding tissue, the epidermis is not broken. This is why option A is incorrect for a stage 2 ulcer.
B. Stage 4 pressure ulcer: At this stage, full-thickness skin loss occurs, extending into muscle, bone, or supporting structures. This severe damage often exposes tendons or bone and carries a high risk of infection. Option B is incorrect because stage 2 ulcers do not involve muscle or bone.
C. Stage 3 pressure ulcer: This stage involves full-thickness skin loss extending into the subcutaneous tissue, possibly down to the underlying fascia. The adipose layer may be visible, but muscle, tendon, and bone are not exposed. Stage 3 is deeper than stage 2, making option C incorrect.
D. Stage 2 pressure ulcer: This stage is characterized by partial-thickness skin loss involving the epidermis and possibly the dermis. It may appear as an open blister, abrasion, or shallow crater. The wound is typically red-pink without slough and does not expose deeper tissues such as fat, muscle, or bone. Stage 2 ulcers indicate early tissue damage but require careful monitoring to prevent progression to deeper stages.
Correct Answer is B
Explanation
Rationale:
A. The recovery stage, also called the convalescent stage, occurs after the acute phase when symptoms are subsiding and the body is returning to normal health. The person typically feels improving, not just beginning to feel unwell.
B. The prodromal stage is the early phase of infection when a person begins to experience nonspecific symptoms, such as fatigue, mild fever, or malaise. This stage is often described as "coming down with something" because the individual senses that illness is developing before specific or severe symptoms appear. During this stage, the pathogen is multiplying, and the person may be contagious, even though the signs are not yet definitive.
C. The incubation stage occurs immediately after exposure to the pathogen, during which the pathogen is replicating in the body but the person is asymptomatic. The individual is not aware of the infection yet, making this stage distinct from the prodromal stage.
D. The acute stage is characterized by full-blown, specific symptoms of the infection, such as high fever, rash, severe cough, or other hallmark manifestations. The person in this stage is clearly ill, unlike during the prodromal stage.
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