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A nurse is monitoring a client who has experienced anaphylactic shock. Which manifestations are associated with this condition? Select all that apply.

A.

Increased awareness.

B.

Chest pain.

C.

Dyspnea.

D.

Angioedema.

E.

Hypertension.

F.

Urticaria.

Question Solution

Correct Answer : B,C,D,F

Choice A rationale

 

Increased awareness is not a manifestation of anaphylactic shock. Anaphylactic shock typically causes confusion or loss of consciousness due to decreased blood flow to the brain.

 

Choice B rationale

 

Chest pain can occur during anaphylactic shock due to the body’s severe allergic reaction and the strain it places on the cardiovascular system.

 

Choice C rationale

 

Dyspnea, or difficulty breathing, is a common manifestation of anaphylactic shock. The airways can become constricted, making it hard to breathe.

 

Choice D rationale

 

Angioedema, or swelling of the deeper layers of the skin, often occurs during anaphylactic shock. It can affect the face, throat, and other areas.

 

Choice E rationale

 

Hypertension, or high blood pressure, is not a typical manifestation of anaphylactic shock. Anaphylactic shock usually causes hypotension, or low blood pressure.

 

Choice F rationale

 

Urticaria, or hives, is a common skin reaction during anaphylactic shock. It presents as red, itchy welts on the skin.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Administering an IM injection does not typically require a gown as personal protective equipment unless there is a risk of exposure to blood or body fluids.

Choice B rationale

Completing a dressing change requires a gown to protect against potential exposure to blood or body fluids.

Choice C rationale

Administering an intermittent IV bolus medication does not typically require a gown unless there is a risk of exposure to blood or body fluids.

Choice D rationale

Talking to the client at the bedside does not require a gown as there is no risk of exposure to blood or body fluids.

Correct Answer is D

Explanation

Choice A rationale

Inactivated poliovirus (IPV) vaccine does not contain egg protein and is safe for individuals with egg allergies. There is no need to clarify this prescription.

Choice B rationale

Hepatitis B (HepB) vaccine does not contain egg protein and is safe for individuals with egg allergies. There is no need to clarify this prescription.

Choice C rationale

Haemophilus influenzae type b (Hib) vaccine does not contain egg protein and is safe for individuals with egg allergies. There is no need to clarify this prescription.

Choice D rationale

Influenza, live attenuated (LAIV) vaccine contains egg protein and can cause severe allergic reactions in individuals with egg allergies. This prescription should be clarified to ensure the safety of the child.

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