The nurse is assessing a client who cannot synthesize suppressor T-cells. For what other condition does the nurse assess the client?
a. Increased seasonal allergies
b. Multiple sclerosis
c. Leukemia
d. Graft-versus-host disease
A
Suppressor T-cells function to limit the actions of general and specific responses. These cells prevent overreactions to the presence of "foreign proteins" within a person's environment. People who are deficient in suppressor T-cell activity have more severe hypersensitivity reactions, allergies, and autoimmune responses. Low numbers of T-suppressor lymphocytes would not increase the client's risk for multiple sclerosis (MS), leukemia, or graft-versus-host disease.
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Which of the following cranial nerves would the nurse assess on a person if she was concerned about problems with eating and swallowing?
a. V, VII, IX, X, XI, XII b. III, IV, VI, X c. II, VII, X, XII d. V, VII, VIII, IX, XII
Which scenario demonstrates apparent consent?
1. Voluntarily signing a consent form for an invasive procedure 2. Orally agreeing to have an invasive procedure performed 3. Allowing a family member to sign the informed consent for the patient 4. Showing by his or her conduct that he or she agrees to the treatment
Which problem is a major disadvantage of an intravenous (IV) pump?
a. The alarms are so sensitive that nurses tend to ignore them when they sound frequently. b. Patients and families can override the automatic features and reset the infusion rate. c. It can "run away" and cause a patient to experience fluid overload. d. It can continue to push fluid into the tissue when infiltration occurs.
The nurse would immediately collaborate with the health care provider if a patient experiences a "shift to the left" in laboratory values. What is the rationale for this collaboration?
1. This shift is an indicator of electrolyte imbalance. 2. This shift is an indicator of disruption of hemostasis. 3. This shift is an indicator of a potential bleeding problem. 4. This shift is an indicator of risk for a severe infection.