A nurse is assessing a client for a suspected anaphylactic reaction following a CT scan with contrast media. For which of the following client findings should the nurse intervene first?
Vomiting
Stridor
Hypertension
Urticaria
The Correct Answer is B
A. Vomiting: While vomiting can occur during anaphylaxis, it is not the most immediately life-threatening symptom.
B. Stridor: Stridor indicates upper airway obstruction, which is a critical and life-threatening sign of anaphylaxis. This finding requires immediate intervention, such as administering epinephrine and ensuring airway patency.
C. Hypertension: Hypertension is not typically associated with anaphylaxis; instead, hypotension is more common due to vascular collapse.
D. Urticaria: Urticaria (hives) can occur in anaphylaxis, but it is not as urgent as stridor, which indicates a compromised airway.
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Correct Answer is A
Explanation
A. Diabetes mellitus: Diabetes mellitus is a significant risk factor for UTIs due to elevated glucose levels in the urine, which provides an environment conducive to bacterial growth.
B. Anemia: Anemia does not directly increase the risk of UTIs. UTIs are more related to factors affecting the urinary tract and immune function rather than blood cell count.
C. Osteoporosis: Osteoporosis does not increase susceptibility to UTIs, as it primarily affects bone density and strength.
D. COPD: COPD is a lung condition and does not have a direct connection to an increased risk for UTIs.
Correct Answer is D
Explanation
A. Narrowed pulse pressure: A narrowed pulse pressure can indicate various cardiovascular issues but is not a specific sign of pneumonia.
B. Bradycardia: Bradycardia may occur due to various reasons, including medications or underlying health conditions, but it is not a common sign of pneumonia.
C. Night sweats: While night sweats can occur with pneumonia, they are more associated with infections such as tuberculosis or certain malignancies. It's not a classic presentation.
D. Confusion: Confusion is a common manifestation of pneumonia in older adults due to hypoxia, dehydration, or fever. Older adults often present atypically with changes in mental status during infections.