Question

A school nurse is assessing a child who has been stung by a bee. The child's hand is swelling and the nurse notes that the child has allergies to insect stings. Which of the following findings should the nurse expect if the child develops anaphylaxis? Select all that apply? A. Difficulty breathing

B. Rapid heart rate
C. Decreased blood pressure
D. Erythema and warmth at the sting site
E. Drowsiness and lethargy

Answer 1

The nurse should expect difficulty breathing, rapid heart rate, and decreased blood pressure if the child develops anaphylaxis.

Step-by-step explanation:

The nurse should expect the following findings if the child develops anaphylaxis:

1. Difficulty breathing: Anaphylaxis can cause swelling of the airways, making it difficult for the child to breathe.
2. Rapid heart rate: Anaphylaxis can trigger an increase in heart rate as the body responds to the allergic reaction.
3. Decreased blood pressure: Anaphylaxis can cause a drop in blood pressure, potentially leading to shock.
4. Erythema and warmth at the sting site: These symptoms may indicate a local allergic reaction, but they are not specific to anaphylaxis.
5. Drowsiness and lethargy: While anaphylaxis can cause fatigue, drowsiness, and lethargy, these symptoms may not always be present.