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. Receiving medication to minimize episodes of breakthrough pain is a realistic and important goal for comfort.
B. Verbalizing an understanding of disease transmission may not be feasible at this stage.
C. Increasing attendance at community activities may not be practical for a client nearing end of life.
D. Experiencing weight gain may not be realistic given the client's condition.

A. Ability to target and destroy CD4 lymphocytes B. Having reverse transcriptase enzyme C. Conversion of the virus's RNA into DNA D. Containing only a single strand of genetic material

Correct Answer is A

Explanation

A. The ability to target and destroy CD4 lymphocytes is crucial, as it weakens the immune system and leads to opportunistic infections.
B. Reverse transcriptase is important for viral replication but not directly related to opportunistic infections.
C. Converting RNA into DNA is a part of the infection process, not directly tied to opportunistic infections.
D. Having a single strand of genetic material does not directly correlate with the risk of opportunistic infections.

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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?

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