Biology Forums - Study Force

The nurse is caring for a client who is experiencing anaphylaxis. The family asks the nurse why the client is having difficulty breathing. The nurse responds based on what knowledge?
 
  1. Reflex tachycardia
  2. Compensation for a rapid fall in blood pressure
  3. Seizures are likely to occur
  4. Bronchoconstriction in response to the allergen

4

Rationale 1: Reflex tachycardia occurs as the body responds to the allergen, but is not responsible for the difficulty breathing.
Rationale 2: Compensation for a rapid fall in blood pressure occurs as the body responds to the allergen, but is not responsible for the difficulty breathing.
Rationale 3: The body's response to histamine occurs as the body responds to the allergen, but is not responsible for the onset of seizures.
Rationale 4: The client will experience difficulty breathing due to bronchoconstriction. All of the other symptoms occur as the body responds to the allergen, but are not responsible for the difficulty breathing.

Global Rationale: The client will experience difficulty breathing due to bronchoconstriction. The release of massive amounts of histamine and other inflammatory mediators causing the patient to experience itching, hives, and tightness in the throat or chest.

TYVM