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. Dobutamine is not indicated for anaphylaxis; it is used for heart failure.
B. Furosemide is a diuretic, not appropriate in acute anaphylaxis.
C. Epinephrine is the first-line treatment for anaphylactic shock and should be administered immediately to reverse severe allergic reactions.
D. Methylprednisolone may be used later to reduce inflammation but is not the first-line treatment.

A. "Implement a schedule to include periods of rest." B. "Engage in a vigorous exercise program." C. "Plan to relax in a hot tub spa each day." D. "Wear an eye patch on the right eye at all times."

Correct Answer is A

Explanation

A. Implementing a schedule that includes periods of rest is beneficial in managing fatigue common in MS.
B. Engaging in a vigorous exercise program may exacerbate symptoms; moderate exercise is usually recommended.
C. Hot tubs may worsen symptoms due to increased body temperature; cool environments are preferred.
D. Wearing an eye patch may be helpful in some cases, but it is not a blanket recommendation for all patients with diplopia.

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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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