A patient receiving a blood transfusion reports nausea and back pain 10 minutes into the transfusion. The nurse realizes the patient is experiencing which type of hypersensitivity response?
1. Type I
2. Type III
3. Type IV
4. Type II
Answer: 4
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The clinical manifestations of the Cushing reflex are
a. bradycardia, systolic hypertension, and widening pulse pressure. b. tachycardia, systolic hypotension, and tachypnea. c. headache, nuchal rigidity, and hyperthermia. d. bradycardia, aphasia, and visual field disturbances.
The client is a 38-year-old woman diagnosed with a narcissistic personality disorder. Behaviors associated with this diagnosis are
1. avoidant. 2. odd or eccentric. 3. attention seeking. 4. a lack of trust in others.
Which of these would best prepare a nursing student for the National Council Licensure Examination for Registered Nurses (NCLEX-RN®)?
1. Purchase a review text with a companion compact disc that has links to study sites on the Internet. 2. Purchase a review text with companion compact disc containing NCLEX-RN® types of questions. 3. Purchase a review text that has practice questions and drills on a compact disc, including test answers. 4. Form a study group to review subject content and surf the Internet for review sites and links.
A client with cardiopulmonary disease receives a physical examination performed by a nurse. Knowing the client history, the nurse is attentive when checking the nails for the presence of:
1. Clubbing 2. Paronychia 3. Beau's lines 4. Splinter hemorrhages