Which are clinical indicators of an anaphylactic blood reaction?

1. Crackles and edema
2. Wheezing and chest pain
3. Headache and muscle pain
4. Hypotension and confusion


2
2. Wheezing and chest pain are consistent with clinical indicators of an anaphylactic blood reaction mediated by a massive release of histamine and inflammatory media-tors. This is a medical emergency because the client is losing the airway.
1. Crackles and edema can indicate fluid volume overload.
3. Headache and muscle pain are nonspecific clinical indicators.
4. Hypotension can be associated with an anaphylactic reaction; however, the client is more likely to lose consciousness from hypoperfusion than become confused.

Nursing

You might also like to view...

During the physical assessment of a hospitalized client, the client stated, "I've been under an incredible amount of stress after the healthcare provider diagnosed me with colon cancer 2 days ago."

Which of the following findings are associated with increased stress? Standard Text: Select all that apply. 1. Apical heart rate is 104 beats per minute. 2. Respiratory rate is 16 breaths per minute. 3. Pupils were equal, dilated, and round. 4. Client is hypoglycemic. 5. Blood pressure is 158/94.

Nursing

Which information is required as part of the Outcome and Assessment Information Set (OASIS)? Select all that apply

1. Demographic information 2. Living arrangements 3. Insurance information 4. Medications 5. Financial information

Nursing

When assessing a couple's risk factors, it is important for the nurse to determine:

A) number of sperm produced by the male. B) frequency of sexual relations. C) desire for a girl or a boy. D) exposure to chemicals that could be harmful to the fetus.

Nursing

Your 65-year-old client has a history of chronic obstructive pulmonary disease and is now in acute congestive heart failure. The client has extreme dyspnea and is only able to ambulate from a recliner to the bathroom and back

Which nursing diagnosis would be most appropriate? 1. Impaired physical mobility 2. Disturbed sensory/perceptual 3. Activity intolerance 4. Impaired skin integrity

Nursing