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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.

Increased awareness.

Chest pain.

Dyspnea.

Angioedema.

Hypertension.

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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A. Erythema and edema of the affected ear. B. Pain when manipulating the affected ear lobe. C. Tugging on the affected ear lobe. D. Clear drainage from the affected ear.

Correct Answer is C

Explanation

Choice A rationale

Erythema and edema of the affected ear are more commonly associated with external otitis (swimmer’s ear) rather than otitis media. Otitis media involves the middle ear, not the external ear canal.

Choice B rationale

Pain when manipulating the affected ear lobe is also indicative of external otitis. In otitis media, the pain is usually deeper and not affected by manipulation of the ear lobe.

Choice C rationale

Tugging on the affected ear lobe is a common sign in toddlers with otitis media. This behavior is due to the discomfort and pressure in the middle ear caused by the infection.

Choice D rationale

Clear drainage from the affected ear is not typical of otitis media. If there is drainage, it is usually purulent (pus-like) and indicates a ruptured eardrum.

A. Pitting edema of the hands and fingers. B. Subcutaneous nodules on the ulnar side of the arm. C. A dry, red rash across the bridge of the nose and on the cheeks. D. A grey-colored, non-purpuric papular rash.

Correct Answer is C

Explanation

Choice A rationale

Pitting edema of the hands and fingers is not a typical finding in clients with systemic lupus erythematosus (SLE). Edema can occur in SLE, but it is more commonly associated with renal involvement and not specifically pitting edema of the hands and fingers.

Choice B rationale

Subcutaneous nodules on the ulnar side of the arm are more commonly associated with rheumatoid arthritis rather than SLE. SLE does not typically present with subcutaneous nodules.

Choice C rationale

A dry, red rash across the bridge of the nose and on the cheeks, known as a “butterfly rash,” is a classic sign of SLE. This rash is caused by inflammation of the small blood vessels in the skin and is often exacerbated by sun exposure.

Choice D rationale

A grey-colored, non-purpuric papular rash is not characteristic of SLE. The typical rash in SLE is the butterfly rash, which is dry, red, and raised.

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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.

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Correct Answer is C

Explanation

Correct Answer is C

Explanation

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

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A nurse is caring for a toddler who has otitis media. Which of the following assessment findings should the nurse expect?

Correct Answer is C

Explanation

A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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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.