A nurse is caring for a client who has a delayed hypersensitivity reaction. The nurse should expect which of the following manifestations?
Serum sickness
Bronchospasm
Tissue damage at the site
Excessive mucus secretion
The Correct Answer is C
A. Serum sickness is a systemic reaction and not characteristic of delayed hypersensitivity.
B. Bronchospasm is more indicative of immediate hypersensitivity reactions.
C. Tissue damage at the site occurs in delayed hypersensitivity reactions, such as those seen in contact dermatitis.
D. Excessive mucus secretion is also more typical of immediate reactions rather than delayed ones.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Weakness is not a primary symptom of osteoarthritis but may occur due to pain.
B. Malaise is more common in inflammatory conditions like rheumatoid arthritis, not osteoarthritis.
C. Fever is not associated with osteoarthritis; it’s more typical of inflammatory diseases.
D. Crepitus, or a crackling sensation during joint movement, is a common finding in osteoarthritis due to the degradation of cartilage.
Correct Answer is B
Explanation
A. Administering prescribed sedatives is not appropriate, as it can worsen respiratory function in myasthenic crisis.
B. Preparing the client for mechanical ventilation may be necessary due to respiratory muscle weakness and potential respiratory failure.
C. Administering a vasoconstrictor is not indicated for a myasthenic crisis.
D. Instructing the client to perform pursed lip breathing is not the priority; respiratory support is crucial.
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