A nurse is assessing a client who has anaphylactic shock due to a bee sting.

Which of the following findings should the nurse expect?

Bradycardia

Hypertension

Bronchospasm

Warm, dry skin.

Answer and Explanation

The Correct Answer is C

Bronchospasm.

Bronchospasm is a constriction of the airways that causes wheezing and trouble breathing. It is one of the symptoms of anaphylaxis, a severe allergic reaction that can occur within minutes of exposure to something you’re allergic to, such as a bee sting.

Choice A is wrong because bradycardia is a slow heart rate, not a fast one. Anaphylaxis causes a weak and rapid pulse due to low blood pressure.

Choice B is wrong because hypertension is high blood pressure, not low. Anaphylaxis causes blood pressure to drop suddenly and can lead to shock.

Choice D is wrong because warm, dry skin is not a sign of anaphylaxis. Anaphylaxis causes skin reactions such as hives, itching, flushed or pale skin.

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Correct Answer is D

Explanation

Increased oxygen saturation.This indicates that the condition is improving because it means that the blood is getting more oxygen in the lungs and less blood is shunting from the aorta to the pulmonary artery through the patent ductus arteriosus (PDA).

Choice A is wrong because decreased heart rate can be a sign of hypoxia, acidosis, or heart failure, which are complications of PDA.

Choice B is wrong because increased blood pressure can be a sign of increased systemic vascular resistance, which can result from decreased tissue perfusion due to PDA.

Choice C is wrong because decreased respiratory rate can be a sign of respiratory depression, which can be caused by some medications used to treat PDA, such as indomethacin or ibuprofen.

Normal ranges for oxygen saturation in preterm infants are between 88% and 95%.

Normal ranges for heart rate in preterm infants are between 120 and 160 beats per minute.

Normal ranges for blood pressure in preterm infants depend on gestational age and weight.

Normal ranges for respiratory rate in preterm infants are between 40 and 60 breaths per minute.

A. “We need to monitor your kidney function because SLE can cause glomerulonephritis.” B. “We need to monitor your liver function because SLE can cause hepatic necrosis.” C. “We need to monitor your thyroid function because SLE can cause hypothyroidism.” D. “We need to monitor your pancreatic function because SLE can cause diabetes mellitus.”.

Correct Answer is A

Explanation

“We need to monitor your kidney function because SLE can cause glomerulonephritis.” Glomerulonephritis is kidney inflammation caused by SLE that can damage the filtering units of the kidneys called glomeruli.SLE is an autoimmune disease that can affect various organs and tissues, including the kidneys.About half of the people with lupus experience kidney involvement, which can lead to kidney failure if not treated.

Therefore, it is important to monitor the kidney function of people with SLE.

Choice B is wrong because SLE does not cause hepatic necrosis, which is the death of liver cells.SLE can cause inflammation of the liver, but this is less common and less severe than kidney involvement.

Choice C is wrong because SLE does not cause hypothyroidism, which is a condition where the thyroid gland does not produce enough thyroid hormones.

SLE can affect the thyroid gland, but this is rare and usually does not affect the thyroid function.

Choice D is wrong because SLE does not cause diabetes mellitus, which is a condition where the body cannot regulate blood sugar levels.

SLE can cause inflammation of the pancreas, but this is uncommon and usually does not affect the insulin production.

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A nurse is assessing a client who has anaphylactic shock due to a bee sting. Which of the following findings should the nurse expect?

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A nurse is assessing a client who has anaphylactic shock due to a bee sting.

Which of the following findings should the nurse expect?