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 ["7.5"]

Explanation

The correct answer is 7.5 mL.

Calculation: Determine the amount of medication in 1 mL of solution: 20 mg/5 mL = 4 mg/mL Determine the volume of solution needed to administer 30 mg: 30 mg / 4 mg/mL = 7.5 mL

A. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider.”. B. "A comprehensive list of medications is provided for the client at the time of discharge.”. C. "Complete the reconciliation process one time when the client is first admitted to the hospital.”. D. "A nurse should write a verbal order in the medical record for medications the client was taking at home.”.

Correct Answer is B

Explanation

Choice A rationale:

The list obtained from the client should include all medications the client is taking, regardless of who prescribed them. This includes over-the-counter medications and supplements.

Choice B rationale:

Providing a comprehensive list of medications for the client at the time of discharge is an important component of medication reconciliation. This helps to ensure the client understands what medications they should be taking, how to take them, and why they are taking them.

Choice C rationale:

The reconciliation process should be completed at each transition of care, not just when the client is first admitted to the hospital. This is to ensure that any changes in medication are accurately documented and communicated.

Choice D rationale:

A nurse should not write a verbal order in the medical record for medications the client was taking at home without confirmation from the provider. This could lead to errors in medication administration.

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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

Correct Answer is ["7.5"]

Explanation

A nurse is reviewing the components of medication reconciliation with a newly licensed nurse.Which of the following information should the nurse include in the teaching?

Correct Answer is B

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?

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?