The nurse is conducting a physical assessment on a patient experiencing a hypersensitivity reaction. On which areas should the nurse focus this assessment?
Select all that apply.
1. skin condition
2. mucous membranes
3. peripheral pulses
4. respiratory rate and lung sounds
5. cranial nerve function
Correct Answer: 1, 2, 4
For the patient with a hypersensitivity reaction, the physical assessment should focus on mucous membranes of nose and mouth, skin for lesions or rashes, eyes (tearing and redness), respiratory rate, and adventitious breath sounds. Peripheral pulses and cranial nerve function are not specific to immune function.
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