A 16-year old boy is brought to the ER by his parents with symptoms of dyspnea, tightness in the chest, cyanosis, and increased pulse rate and respirations. Which of the following allergic disorders would the nurse suspect?
A) Bronchial asthma
B) Allergic rhinitis
C) Food allergy
D) Serum reaction
A
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Signs and symptoms of bronchial asthma include periods of dyspnea, tightness in the chest, wheezing, cough, tenacious sputum, cyanosis, profuse perspiration, and increased pulse rate and respirations. Allergic rhinitis manifests as sneezing; watery rhinorrhea; edema; burning, itching, and watery eyes; fullness and itching of the ears; and itching of the throat and palate. Common manifestations of food allergy include nausea and vomiting, diarrhea, abdominal pain and tenderness, swelling of the lips and throat, itching of the palate, rhinoconjunctivitis, sneezing, wheezing, urticaria, and migraine headaches. Symptoms of serum reaction include itching and inflammation at the point of injection, skin rash, enlarged lymph nodes, and sometimes swollen joints, as well as a feeling of general weakness and an elevated temperature.
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