vSIM - Medical Scenario 1: Kenneth
Bronson FA23, Med Surg 3 clinical vSIM
PRE
The patient experiencing an anaphylactic reaction may experience which of the
following signs and symptoms? (Select all that apply.)
Pallor
Dyspnea
Laryngeal edema
Pruritus
Bronchospasm
Dyspnea
Laryngeal edema
Pruritus
Bronchospasm
Rationale:Mild systemic reactions consist of peripheral tingling, warmth, a
sensation of fullness in the mouth and throat, nasal congestion, periorbital
swelling, pruritus, sneezing, and tearing of the eyes. Moderate systemic
reactions may include flushing and anxiety in addition to any of the milder
symptoms. More serious reactions include bronchospasm, laryngeal edema,
severe dyspnea, cyanosis, and hypotension. Dysphagia (difficulty swallowing),
abdominal cramping, vomiting, diarrhea, and seizures can also occur. Cardiac
arrest and coma may follow.
, PRE
When a patient presents to the emergency department with pneumonia, which
signs and symptoms would the nurse expect the patient to exhibit? (Select all
that apply.)
Night sweats
Fever
Dyspnea
Fatigue
Orthopnea
Fever
Dyspnea
Fatigue
Orthopnea
Rationale:Fever is present with the infection. Patients will exhibit dyspnea,
preferring to be propped up or sitting up due to orthopnea (shortness of breath
when reclining or supine). The patient is fatigued from the work of breathing.
PRE
Which of the following represent initial signs and symptoms of a patient in
respiratory distress? (Select all that apply.)
Tachypnea
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