A patient has a Type IV hypersensitivity (delayed-type hypersensitivity) response to an infection. The nurse understands that which two types of cells are necessary for this response?
a. Antigen-presenting cells and mast cells
b. Cytolytic T lymphocytes and target cells
c. Immunoglobulin cells and dendritic cells
d. Infected macrophages and CD4 helper T cells
D
The object of Type IV hypersensitivity (delayed-type hypersensitivity) is to rid the body of bac-teria that replicate within macrophages. The macrophage activates the CD4 cell, which in turn activates the macrophage. The other cells listed are not a part of this response.
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A woman asks you if she will have any difficulty breastfeeding following a cesarean birth. Which of the following would be your best response?
A) You do not recommend she try to breastfeed following a cesarean birth. B) Although she can try, it is hard to find a comfortable position to hold a newborn to breastfeed. C) She will need too much analgesia postoperatively to make breastfeeding safe. D) You will help her find a comfortable position for breastfeeding her infant.
A nurse manager has been working in a community health center for many years. In the recent months, the nurse manager has noticed a dramatic increase in the number of Hispanic clients coming in to the center with uncontrolled diabetes
Which of the following is the best way to address the situation? A. Speak with local providers about decreasing the length of time between follow-up visits. B. Involve pharmacists in counseling newly diagnosed patients about their insulin regimen. C. Perform a community assessment to determine why community members aren't properly caring for themselves. D. Develop several educational handouts about managing diabetes and have them translated into Spanish.
The nurse identifyies evidence summaries for evidence-based practice. Which of the following are references to types of evidence summaries? (Select all that apply.)
1. Review of literature 2. Evidence synthesis 3. Authentication review 4. Systematic reviews 5. Integrative reviews 6. Substantiation evidence
The nurse administers 20 mg of furosemide (Lasix) to a patient by the intravenous (IV) route. Which action is most important for the nurse to take?
a. Give the drug slowly over at least 2 minutes. b. Check the patient carefully for symptoms of low blood glucose levels. c. Mix the drug with potassium chloride to prevent a rapid drop in serum potassium levels. d. Monitor the IV site after giving the drug because furosemide causes severe tissue damage if infiltration occurs.