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 D
Explanation
A. An increased WBC count is not expected; often, patients with AIDS have leukopenia due to immune system compromise.
B. Increased hemoglobin is not typical; anemia is more common in these patients.
C. Weight gain is unlikely; weight loss and wasting are more common in late-stage AIDS.
D. Night sweats are a classic symptom of AIDS due to opportunistic infections and other complications.
Correct Answer is D
Explanation
A. Displacement involves redirecting emotions, which does not apply here.
B. Reaction formation is expressing the opposite of one's true feelings; this does not fit the statement.
C. Rationalization involves justifying behaviors or feelings; the statement does not justify.
D. Denial is refusing to accept the reality of the situation, which aligns with the client's belief about their pain.
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