A child is brought to the emergency room with symptoms of anaphylactic shock. Which of the following cues would be most indicative of anaphylactic shock?
Nausea and vomiting
wheezing and difficulty breathing
Fever and chills
Hives and itching
The Correct Answer is B
A. Nausea and vomiting can occur in anaphylactic shock but are not the most indicative symptoms.
B. Wheezing and difficulty breathing are hallmark signs of anaphylactic shock due to airway constriction and bronchoconstriction.
C. Fever and chills are not typically associated with anaphylactic shock.
D. Hives and itching can occur in anaphylactic shock but are not the most indicative symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Although monitoring is important, the low urine output and weight of the child warrant further intervention.
B. With such low urine output, especially considering the child's weight, notifying the healthcare provider is essential for further evaluation and management. At 33 lbs, the child's expected urine output is closer to 1 ml/kg/hr (around 33 ml/hr).
C. Oral rehydration fluids may be indicated for dehydration but should be guided by healthcare provider orders.
D. A bladder scan may not provide relevant information in this case of oliguria; notification of the provider is more appropriate.
Correct Answer is D
Explanation
A. Broth may be too heavy for the stomach and could exacerbate symptoms in a child with acute gastroenteritis.
B. Water alone may not adequately replace lost electrolytes, which are crucial in cases of gastroenteritis.
C. Diluted apple juice may not provide the necessary electrolyte replacement needed for fluid resuscitation in acute gastroenteritis.
D. Oral rehydration solution is specifically formulated to replace lost fluids and electrolytes and is the recommended fluid for children with acute gastroenteritis.
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