Difficulty: Medium
Average Score: 74%
Simulated
Which assessment data indicated to the nurse that a client is having an anaphylactic reaction to a medication?
Correct answer
D
Rationale
Anaphylaxis is a severe allergic reaction involving multiple systems. Wheezing and dyspnea (D) indicate respiratory involvement, a hallmark of anaphylaxis, requiring urgent intervention. Urticaria/pruritis (A) are common but less specific. Insomnia/irritability (B) and tinnitus/diplopia (C) are unrelated.