A nurse is planning care for a client who experienced an anaphylactic reaction. Which of the following findings should the nurse identify as the most important indication for a referral to an allergy specialist?

The client was administered epinephrine.

The client experienced a biphasic reaction.

The client required the administration of glucagon in addition to epinephrine.

The client does not know what triggered the reaction.

Answer and Explanation

The Correct Answer is D

Not knowing what triggered the allergic reaction is a significant concern and may indicate a need for allergy testing and evaluation by an allergy specialist. Identifying the trigger allergen is crucial for implementing avoidance strategies, preventing future allergic reactions, and managing the client's overall health and well-being.
A.   While the administration of epinephrine indicates the severity of the allergic reaction and the need for immediate treatment, it may not be the most important indication for referral to an allergy specialist on its own.
B.   A biphasic reaction refers to the recurrence of symptoms after an initial resolution of an allergic reaction. Biphasic reactions can occur within hours or days after the initial reaction and can be severe or even life-threatening. This, however, does not necessitate need for a specialist.
C.   While severe hypoglycemia can occur in some cases of anaphylaxis, it may not be the primary indication for referral to an allergy specialist.

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Correct Answer is D

Explanation

Adaptive feeding devices are specifically designed to assist individuals with limited hand movement in feeding themselves more independently. These devices can include utensils with larger handles, specialized grips, or devices that stabilize food items for easier manipulation. Providing such devices can enhance the client's ability to feed themselves and promote autonomy in their daily activities.

A. Increased vital capacity B. Decreased mental status C. Moist skin D. Heat intolerance

Correct Answer is B

Explanation

Malnutrition typically leads to muscle wasting and weakness, including respiratory muscles. As a result, it is more common to see a decrease in vital capacity rather than an increase.

B. Malnutrition can lead to cognitive impairment and decreased mental status due to inadequate nutrient supply to the brain. Deficiencies in essential nutrients such as vitamins and minerals can affect cognitive function, memory, and concentration.

C. Malnutrition is more commonly associated with dry, rough, and scaly skin due to deficiencies in essential fatty acids and vitamins. Moist skin is not typically a finding associated with malnutrition.

D. Heat intolerance is a feature of hyperthyroidism that is not typically seen in malnutrition.

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A nurse is planning care for a client who experienced an anaphylactic reaction. Which of the following findings should the nurse identify as the most important indication for a referral to an allergy specialist?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has limited hand movement. Which of the following actions should the nurse take to assist the client with feeding?

Correct Answer is D

Explanation

A nurse is assessing a client who has malnutrition. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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