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. Applying ice before exercising may not be beneficial; heat is often recommended for stiffness, and ice for inflammation post-exercise.
B. Echinacea is not scientifically supported for managing joint pain in osteoarthritis.
C. Maintaining a recommended body weight helps reduce stress on joints and manage symptoms.
D. Reducing purine intake is more relevant for gout than osteoarthritis.

A. Request prescription for a relaxant. B. Verify the most recent calcium level. C. Administer an oral potassium supplement. D. Check the pedal pulses.

Correct Answer is B

Explanation

A. Requesting a prescription for a relaxant may not address the underlying issue.
B. Verifying the most recent calcium level is essential, as spasms may indicate hypocalcemia due to potential parathyroid damage.
C. Administering an oral potassium supplement is not indicated; the focus should be on calcium.
D. Checking pedal pulses is less critical than assessing calcium levels in this context.

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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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