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.
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Related Questions
Correct Answer is ["B","C"]
Explanation
A. Diuretics are not a direct risk factor for osteoarthritis.
B. Obesity increases stress on weight-bearing joints, significantly contributing to osteoarthritis risk.
C. Aging is a major risk factor due to the natural wear and tear on joints over time.
D. Smoking is not directly linked to osteoarthritis but can influence overall health; however, it’s not
considered a primary risk factor for osteoarthritis.
E. Osteoarthritic is related to wear and tear and not bacteria.
Correct Answer is A
Explanation
A. Weakness is a hallmark symptom of myasthenia gravis, resulting from the impaired transmission of nerve impulses to muscles. Monitoring for weakness is crucial to assess the progression of the disease.
B. Confusion is not typically a direct manifestation of myasthenia gravis; it may occur due to other factors but is not a primary concern.
C. Increased intracranial pressure is not associated with myasthenia gravis. The condition primarily affects muscle strength.
D. Increased urinary output is not relevant to myasthenia gravis and does not indicate a manifestation of the disease.
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