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. 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.

A. Teach the parents about cortisol replacement therapy. B. Discuss the manifestations of hyperglycemia with the parents. C. Place the child on a low-sodium diet. D. Monitor the child for fluid volume excess.

Correct Answer is A

Explanation

A. Teaching parents about cortisol replacement therapy is essential for managing Addison's disease.
B. Discussing hyperglycemia is not pertinent, as Addison's disease typically presents with hypoglycemia.
C. A low-sodium diet is not recommended; rather, increased sodium intake may be necessary.
D. Monitoring for fluid volume excess is not typically indicated in Addison's disease.

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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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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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