Which of the following skin conditions frequently heralds an anaphylactic reaction?
A. Contact dermatitis
B. Eczema
C. Urticaria
D. Erythema multiforme
ANS: C
Urticaria, also commonly called hives, involves a histamine-mediated response that can be either acute or chronic. A wide range of situations are associated with hives, including a variety of infections, allergies to foods and medications, or underlying systemic disease. Urticaria are pink or red wheals that are very pruritic. Frequently they are associated with anaphylaxis and/or angioedema.
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The nurse is assessing an older adult from a culture different than the nurse's by asking questions from the Explanatory Model for Culturally Sensitive Assessment
Which question(s) should the nurse ask to follow this model? (Select all that apply.) a. How can we negotiate to solve the prob-lem? b. What treatment can improve your condi-tion? c. Should we try my plan first to see if it helps? d. Can we discuss differences in our plans now? e. How long have you experienced the prob-lem? f. Who, other than me, can make you feel better?
The nurse is teaching parents to plan nutritional meals for their son who is overweight. Which of the following guidelines might the nurse include in the teaching plan?
A) School-age children with an average body weight of 20 to 35 kg need approximately 90 calories per kilogram daily. B) The average water requirement for a school-age child per 24 hours ranges from 2,000 to 2,500 mL per day. C) The school-age child needs 28 g of protein and 800 mg of calcium for maintenance of growth and good nutrition. D) In the school-age child, calories needed to sustain weight increase, while the appetite decreases.
When a hyperactive, aggressive patient with bipolar disorder threatens to beat up another patient, the initial nursing intervention should be to
a. provide firm verbal limits. b. place the patient in seclusion. c. ask the patient, "Why are you so angry?" d. distract the patient with diversional activities.
The perinatal nurse accurately defines postpartum hemorrhage by including a decrease in hematocrit levels from pre- to postbirth by:
a. 5% b. 8% c. 10% d. 15%