A nurse in the emergency department is collecting data from a client who was admitted following a bee sting.
Which of the following findings should the nurse expect in a client who is experiencing anaphylaxis?

Increased deep tendon reflexes.

Erythema of the skin.

Bradycardia.

Hypotension.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Increased deep tendon reflexes are not typically associated with anaphylaxis. This is more commonly seen in conditions affecting the nervous system.

Choice B rationale:

While erythema of the skin can occur in anaphylaxis, it is not the most indicative symptom of this condition.

Choice C rationale:

Bradycardia is not typically associated with anaphylaxis. Anaphylaxis is more likely to cause tachycardia, or a rapid heart rate.

Choice D rationale:

Hypotension, or low blood pressure, is a common symptom of anaphylaxis. This occurs due to widespread vasodilation in response to the allergen.

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Correct Answer is B

Explanation

Choice A rationale:

Placing the client in a modified Trendelenburg position is not the first action to take when managing a heavily bleeding wound.

Choice B rationale:

Applying direct pressure to the wound is the first action to take to control bleeding.

Choice C rationale:

Elevating the extremity can help control bleeding, but it is not the first action to take.

Choice D rationale:

Applying a tourniquet is a last resort when other methods of controlling bleeding have failed.

A. Hyperventilation. B. Diarrhea. C. Salicylate intoxication. D. Vomiting.

Correct Answer is B

Explanation

Choice A rationale:

Hyperventilation is a compensatory mechanism for metabolic acidosis, not a cause. It helps to eliminate carbon dioxide, a weak acid, to balance the pH.

Choice B rationale:

Diarrhea causes loss of bicarbonate, a base, from the body. This can lead to metabolic acidosis as there is an excess of acids.

Choice C rationale:

Salicylate intoxication can cause both respiratory alkalosis and metabolic acidosis. However, it is not the most common cause of metabolic acidosis.

Choice D rationale:

Vomiting leads to loss of gastric acid, a strong acid. This usually results in metabolic alkalosis, not acidosis.

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A nurse in the emergency department is collecting data from a client who was admitted following a bee sting.Which of the following findings should the nurse expect in a client who is experiencing anaphylaxis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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A nurse in the emergency department is collecting data from a client who was admitted following a bee sting.
Which of the following findings should the nurse expect in a client who is experiencing anaphylaxis?