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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
A client who is short of breath is experiencing a life-threatening situation and should be seen first.
Choice B rationale:
A client who received pain medication 30 min ago is likely to be comfortable and can be seen later.
Choice C rationale:
A client who is to be discharged at 11:00 can be seen closer to the discharge time.
Choice D rationale:
A client who is ambulatory and going for an x-ray at 10:00 can be seen after the x-ray.
Correct Answer is C
Explanation
Choice A rationale:
This statement is incorrect. Veins do not carry oxygenated blood away from the heart, and arteries do not carry deoxygenated blood toward the heart.
Choice B rationale:
This statement is incorrect. While it is true that veins carry deoxygenated blood, they carry it toward the heart, not away from it. Similarly, arteries carry oxygenated blood, but they carry it away from the heart, not toward it.
Choice C rationale:
This statement is correct. In the circulatory system, veins carry deoxygenated blood toward the heart, while arteries carry oxygenated blood away from the heart.
Choice D rationale:
This statement is incorrect. Veins do not carry oxygenated blood toward the heart, and arteries do not carry deoxygenated blood away from the heart.
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