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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Weakness is a hallmark symptom of myasthenia gravis, resulting from the impaired transmission of nerve impulses to muscles. Monitoring for weakness is crucial to assess the progression of the disease.
B. Confusion is not typically a direct manifestation of myasthenia gravis; it may occur due to other factors but is not a primary concern.
C. Increased intracranial pressure is not associated with myasthenia gravis. The condition primarily affects muscle strength.
D. Increased urinary output is not relevant to myasthenia gravis and does not indicate a manifestation of the disease.

A. Connective tissue B. Lymphatic system C. Muscle tissue D. Peripheral vascular system

Correct Answer is A

Explanation

A. SLE originates in connective tissue, which is affected by this autoimmune disease.
B. The lymphatic system plays a role in immunity but is not the origin of SLE.
C. Muscle tissue is not involved in the pathophysiology of SLE.
D. The peripheral vascular system is affected but is not the primary site of origin for SLE.

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A nurse is caring for a client who has a delayed hypersensitivity reaction. The nurse should expect which of the following manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Explanation

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