You are assessing a 6-year-old little girl in the emergency department (ED) who was brought in by her mother. She was stung by a bee and is allergic to bee venom. The child is now having trouble breathing
She is vasodilated, hypotensive, and has broken out in hives. What do you suspect is wrong with this child? A) She is having an allergic reaction and going into cardiogenic shock.
B) She is having an allergic reaction and going into anaphylactic shock.
C) She is having an allergic reaction and going into neurogenic shock.
D) She is having an allergic reaction and going into obstructive shock.
B
Feedback:
Anaphylactic shock is a severe allergic reaction that follows exposure to a substance to which a person is extremely sensitive (see Ch. 34). Common allergic substances include bee venom, latex, fish, nuts, and penicillin. The body's immune response to the allergic substance causes mast cells in the connective tissues, bronchi, and gastrointestinal tract to release histamine and other chemicals. The results are vasodilatation, increased capillary permeability accompanied by swelling of the airway and subcutaneous tissues, hypotension, and hives or an itchy rash. Cardiogenic shock, neurogenic shock, and obstructive shock would not begin with vasodilation, swelling of the airway, and hives. Therefore, options A, C, and D are incorrect.
You might also like to view...
Following an arthrocentesis of the right knee in the physician's office, the nurse should give which instructions to the client?
1. Begin ROM exercises to the knee in 24 hours. 2. Remove the pressure dressing when you get home. 3. Apply warm, moist heat as needed for pain relief. 4. Limit use of the joint for 2-3 days.
Which condition is a transient, self-limiting mood disorder that affects new mothers after childbirth?
a. Postpartum depression b. Postpartum psychosis c. Postpartum bipolar disorder d. Postpartum blues
What features would be noted on funduscopic examination?
Glaucoma is the leading cause of blindness in African-Americans and the second leading cause of blindness overall. A) Increased cup-to-disc ratio B) AV nicking C) Cotton wool spots D) Microaneurysms
The nurse educator describes the uterus and ovaries as being held in place in the pelvic cavity by what structures?
1. Muscles 2. Tendons 3. Ligaments 4. Peritoneum