A nurse is caring for a client diagnosed with an allergy. Which should the nurse monitor in the client as signs and symptoms of an allergic response?
A) Vasodilation, edema, and itching
B) Vascular spasm or vasoconstriction
C) Spontaneous platelet plug formation
D) Coagulation process for a fibrin clot
A
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Foreign substances cause an inflammatory or a hypersensitivity reaction in the body, resulting in vasodilation, edema, and itching. These signs and symptoms are the result of an allergic or inflammatory response. Vascular spasm or vasoconstriction, spontaneous platelet plug formation, and coagulation processes that form a fibrin clot are hemostatic initial responses, not the result of an allergic or inflammatory response.
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