A10-year-old boy has been brought to the emergency department (ed) by ambulance in apparent anaphylaxis after accidentally eating a snack bar that contained peanuts. the ed nurse should be aware that this patient's signs and symptoms are attributable to:

The emergency department nurse should be aware that the patient is having anaphylaxis due to a massive release of histamine. The emergency department nurse should be aware that an apparent anaphylaxis presents as difficulty breathing, decreased SpO2, decreased blood pressure, increased heart rate, and other signs and symptoms attributed to shock. The nurse should recognize that peanuts are one of the most common allergens in triggering anaphylactic reaction.

Proteins are the workhorses of the cell, controlling virtually every reaction within as well as providing structure and serving as signals to other cells. proteins are long chains of  amino acids  , and the exact sequence of the amino acids determines the final structure and function of the protein. instructions for that sequence are encoded in  genes  . to make a particular protein, a messenger ribonucleic acid (mrna) copy is made from the gene (in the process called  transcription  ), and the mrna is transported to the  ribosome  . protein synthesis, also called  translation  , begins when the two ribosomal subunits link onto the mrna. this step, called initiation, is followed by elongation, in which successive amino acids are added to the growing chain, brought in by transfer rnas (trnas). in this step, the ribosome reads the  nucleotides  of mrna three by three, in units called  codons  , and matches each to three nucleotides on the trna, called the anticodon. finally, during termination, the ribosome unbinds from the mrna, and the  amino acid  chain goes on to be processed and folded to make the final, functional protein