A Triage Nurse in the ED Is on Shift When

A triage nurse in the ED is on shift when a grandfather carries his 4-year-old grandson into the ED. The child is not breathing, and the grandfather states the boy was stung by a bee in a nearby park while they were waiting for the boys mother to get off work. Which of the following would lead the nurse to suspect that the boy is experiencing anaphylactic shock?

A) Rapid onset of acute hypertension
B) Rapid onset of respiratory distress
C) Rapid onset of neurologic compensation
D) Rapid onset of cardiac arrest