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 C
Explanation
A. Restricting fluid intake is inappropriate in Addison's disease; hydration is important.
B. A low-carbohydrate diet is not indicated; clients need adequate carbohydrates and sodium.
C. Administering oral corticosteroids is essential in preventing an Addisonian crisis by replacing deficient hormones.
D. Weighing the client daily is helpful but does not directly prevent an Addisonian crisis.
Correct Answer is C
Explanation
A. TSI levels would be increased, not decreased, in Graves' disease.
B. Thyroxine (T4) levels would typically be increased in Graves' disease.
C. Thyroid-stimulating hormone (TSH) levels are decreased due to feedback from elevated thyroid hormones.
D. Triiodothyronine (T3) levels are usually elevated, not decreased.
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