Which of the following does NOT commonly lead to anaphylaxis?
Answer
Peanuts
Cat dander
Wasp stings
Sulfa drugs - ANSCat dander
Upon delivering a patient to the emergency department, you remove your gloves and find that
your hands are red and itchy. Which of the following is most likely?
Answer
You are showing early signs of an anaphylactic reaction.
You have come into contact with poison ivy in the patient's yard.
You have been exposed to an infectious disease through contact with the patient.
You are having an allergic reaction to the latex in the gloves. - ANSYou are having an allergic
reaction to the latex in the gloves.
As you prepare to enter a patient's room in a nursing home, you see a sign posted on the door
indicating that the patient has a latex allergy. Which of the following is the BEST way to care for
the patient?
Answer
Only perform a history on this patient, not a physical exam, so you can avoid contacting him
with your gloves.
Ask the nursing staff if the patient has an epinephrine auto-injector available in case of a
reaction to your gloves.
Put on latex gloves anyway; you must protect yourself with BSI.
Ask the nursing facility staff to find synthetic exam gloves to wear for contact with this patient. -
ANSAsk the nursing facility staff to find synthetic exam gloves to wear for contact with this
patient.
A severe allergic reaction will usually occur within what time period following exposure to the
substance to which the patient is allergic?
Answer
15 to 30 minutes
2 to 4 minutes
10 to 15 minutes
30 minutes to 2 hours - ANS2 to 4 minutes
, Which of the following statements concerning severe allergic reactions is true?
Answer
The quicker the onset of symptoms, the greater the likelihood of a severe allergic reaction.
A severe allergic reaction can be prevented by the use of an epinephrine auto-injector before
exposure to the substance.
Allergies do not develop until a person is in his late teens to early 20s.
A severe allergic reaction occurs only when the patient has never been exposed to the
substance before - ANSThe quicker the onset of symptoms, the greater the likelihood of a
severe allergic reaction.
Which of the following is NOT a sign or symptom of an allergic reaction involving the skin?
Answer
Cyanosis
Flushing
Hives
Itching
. - ANSCyanosis
Which of the following is MOST likely to be a complaint of a patient suffering from anaphylaxis?
Answer
"I am having severe muscle pains."
"My legs are numb and I can't move them."
"My throat feels like it is closing."
"I can't remember what happened." - ANS"My throat feels like it is closing."
Which of the following would you expect to hear when auscultating the lungs of a patient having
an anaphylactic reaction?
Answer
Clear, adequate air movement
Fine, wet crackles or rales
Coarse-sounding rhonchi
Wheezing - ANSWheezing
You have responded to a park where you find a 23-year-old female sitting on a bench near a
running trail. She states that she has been running for the past 30 minutes, and all of a sudden
she can't catch her breath. She states that this has never happened before and she usually runs
5 miles a day. Your assessment reveals that she is flushed, her pulse is fast and weak, her
respirations are fast and she is wheezing, and she has hives on her arms and chest. She is
most likely suffering from which of the following?
Answer
Anaphylaxis
Heat stroke
Allergic reaction
Hyperventilation syndrome - ANSAnaphylaxis
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