A nurse is caring for a client who asks about the functions of the thymus, spleen, and lymph nodes. Which of the following responses should the nurse make?

"These organs assist with vitamin absorption."

"These organs are used in digestion."

"These organs are for immunity."

"These organs regulate electrolyte balance."

Answer and Explanation

The Correct Answer is C

A.   "These organs assist with vitamin absorption."These organs are not involved in nutrient absorption.
B.   "These organs are used in digestion." The thymus, spleen, and lymph nodes are not part of the digestive system.
C.   "These organs are for immunity." These organs play essential roles in the immune system, including lymphocyte production, pathogen filtration, and immune response regulation.
D.   "These organs regulate electrolyte balance." Electrolyte regulation is managed by the kidneys and endocrine system.

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Correct Answer is B

Explanation

Histamine release: Histamine release is characteristic of Type I hypersensitivity reactions (immediate hypersensitivity) rather than Type IV.

T-lymphocyte memory cells: Type IV hypersensitivity is a delayed response mediated by T-lymphocytes, not antibodies.

Immunosuppression: Immunosuppression is not directly related to hypersensitivity reactions.

Antigen/antibody interaction: This is characteristic of Types I, II, and III hypersensitivity reactions, not Type IV.

A. Stop the transfusion B. Call the blood bank to report the reaction C. Administer oxygen D. Call the physician

Correct Answer is A

Explanation

A. Stop the transfusion: The immediate priority is to halt the infusion to prevent further exposure to the offending blood product.
B. Call the blood bank to report the reaction: This is done after the transfusion is stopped and the patient is stabilized.
C. Administer oxygen: Oxygen administration may be required if the patient shows signs of respiratory distress but is not the immediate first action.
D. Call the physician: Notifying the physician is important but only after stopping the transfusion and assessing the client.

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A nurse is caring for a client who asks about the functions of the thymus, spleen, and lymph nodes. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows that Type IV Hypersensitivity Reaction involves which of the following?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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