ATI PN Adult Medical Surgical 2020 with NGN
ATI PN Adult Medical Surgical 2020 with NGN ( 78 Questions)
A nurse in an urgent care facility is collecting data from a client who was stung by a wasp. Which of the following findings indicates the client is experiencing anaphylaxis?
reason: Hypertension is not a typical symptom of anaphylaxis, which usually causes hypotension due to vasodilation and fluid leakage from the blood vessels.
reason: Difficulty swallowing is a typical symptom of anaphylaxis, which causes swelling of the throat and tongue due to histamine release and inflammation. This is a sign of airway obstruction, which can be life-threatening in anaphylaxis. The other choices are not specific to anaphylaxis and could be caused by other conditions.
reason: Bilateral tinnitus is not a typical symptom of anaphylaxis, which usually causes ear pain or itching due to allergic inflammation of the ear canal.
reason: Petechial rash on the abdomen is not a typical symptom of anaphylaxis, which usually causes urticaria (hives) or angioedema (swelling) on the skin. Petechiae are small red or purple spots caused by bleeding under the skin, which can be a sign of a blood disorder or infection.
Choice A reason: Hypertension is not a typical symptom of anaphylaxis, which usually causes hypotension due to vasodilation and fluid leakage from the blood vessels.
Choice B reason: Difficulty swallowing is a typical symptom of anaphylaxis, which causes swelling of the throat and tongue due to histamine release and inflammation. This is a sign of airway obstruction, which can be life-threatening in anaphylaxis. The other choices are not specific to anaphylaxis and could be caused by other conditions.
Choice C reason: Bilateral tinnitus is not a typical symptom of anaphylaxis, which usually causes ear pain or itching due to allergic inflammation of the ear canal.
Choice D reason: Petechial rash on the abdomen is not a typical symptom of anaphylaxis, which usually causes urticaria (hives) or angioedema (swelling) on the skin. Petechiae are small red or purple spots caused by bleeding under the skin, which can be a sign of a blood disorder or infection.