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 C

Explanation

A. Ulnar deviation is more characteristic of rheumatoid arthritis, not osteoarthritis.
B. Weight loss is not typically associated with early osteoarthritis; patients may experience weight gain due to decreased activity.
C. Pain worsens with activity is a common symptom of osteoarthritis, as joint use tends to exacerbate pain.
D. Osteoarthritis typically affects joints asymmetrically rather than symmetrically.

A. A pill-rolling tremor appears. B. Electrical charge in a muscle increases in intensity. C. Muscle strength shows no change. D. Muscle contractions become progressively stronger.

Correct Answer is D

Explanation

A. A pill-rolling tremor is associated with Parkinson's disease, not myasthenia gravis.
B. Electrical charge in a muscle increasing is not relevant to this test.
C. Muscle strength showing no change indicates a negative test result.
D. Muscle contractions becoming progressively stronger after administration of Tensilon indicates a positive test for myasthenia gravis.

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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

A nurse is completing a physical assessment of a client who has early osteoarthritis. Which of the following manifestations should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a client who has a suspected diagnosis of myasthenia gravis. The provider prescribes a Tensilon test. Which of the following findings indicates a positive test?

Correct Answer is D

Explanation

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