The nurse suspects an older patient is experiencing a type I hypersensitivity response. What did the nurse assess in this patient?
1. A drug reaction causing a rash
2. Reaction after getting a vaccination
3. Anaphylactic reaction after eating shrimp
4. Dermatitis resulting from a response to a brand of soap
3
Rationale: Type II hypersensitivity responses occur in response to an allergy to drugs.
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A young adult lives with his parents, has few interpersonal relationships, and says, "Most people can't be trusted
" This person makes decisions only after consulting with his parents. Using Erikson's developmental theory, the nurse can draw which conclusion? a. The patient has evidence of inferiority and lacks a sense of direction. b. Developmental deficits in early life have impaired the patient's adult functioning. c. The patient's developmental problems will probably lead to a serious mental illness. d. It is impossible for the patient to proceed to the next developmental stage until mastering earlier stages.
The nurse is reviewing a client's plan of care. Which statements indicate that this care plan has been completed accurately and appropriately?
1. Ineffective coping related to drug abuse as evidenced by drug overdose. 2. The client will identify two healthy coping mechanisms by time of discharge. 3. The client has identified two health coping mechanisms to replace inappropriate drug use. 4. The client will be provided with guidance in identifying healthy coping mechanisms. 5. The client has apologized to his family for drug abuse behaviors.
Which client statement indicates a knowledge deficit related to substance use?
A. "Although it's legal, alcohol is one of the most widely abused drugs in our society." B. "Tolerance to heroin develops quickly." C. "Flashbacks from LSD use may reoccur spontaneously." D. "Marijuana is like smoking cigarettes. Everyone does it. It's essentially harmless."
You are transferring a patient from the bed to a stretcher. When should you apply the safety straps?
a. When the stretcher is positioned next to the bed b. After the person's ID bracelet is checked c. Before the person is transferred to the stretcher d. After the person is transferred to the stretcher