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 ["B","C","D","E"]
Explanation
A. Tremors are not a typical manifestation of Cushing's syndrome.
B. Moon face is a characteristic appearance seen in Cushing's syndrome.
C. Purple striations (striae) occur due to skin changes from cortisol excess.
D. A buffalo hump is a common finding due to fat redistribution.
E. Hypertension is frequently observed due to fluid retention and hormonal changes.
Correct Answer is D
Explanation
A. Platelets at 150,000/mm3 are within the lower range of normal but not critical.
B. WBC count of 5,000/mm3 is normal and not a priority.
C. A positive Western blot test confirms HIV but is not as critical as ongoing health monitoring.
D. CD4-T-cell count of 480 cells/mm3 is essential to monitor, as it indicates immune function and risk for opportunistic infections.
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