A client begins to sneeze and have an increase in nasal secretions. The nurse realizes that the antibody that attaches to mast cells and plays a critical role in the allergic process is:

1. IgA.
2. IgD.
3. IgE.
4. IgG.


3
IgE antibody attaches to a mast cell that subsequently releases histamine. This reaction produces allergic symptoms exhibited by clients. IgA protects against infections of the mucous membranes. IgD is found on the surface of B cells. IgG is the main immunoglobulin that is produced in response to an infection.

Nursing

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During a well-child exam, the parents of a 4-year-old child inform the nurse that they are thinking of buying a television for their child's bedroom, and ask for advice as to whether this is appropriate. The best response from the nurse would be

1. "Research has shown that children with a television in their bedroom spend significantly less time playing outside than other children." 2. "Research has shown that watching educational television shows improves a child's performance in school." 3. "Don't buy a television for your child's room; he is much too young for that." 4. "It is okay for children to have a television in their room as long as you limit the amount of time they watch it to less than two hours per day."

Nursing

A woman who is 8 weeks' pregnant is visiting the clinic for a checkup. Her systolic blood pressure is 30 mm Hg higher than her prepregnancy systolic blood pressure. The nurse should:

a. Consider this a normal finding. b. Expect the blood pressure to decrease as the estrogen levels increase throughout the pregnancy. c. Consider this an abnormal finding because blood pressure is typically lower at this point in the pregnancy. d. Recommend that she decrease her salt intake in an attempt to decrease her peripheral vascular resistance.

Nursing

A nurse is caring for a 10-year-old girl following joint fluid aspiration. The nurse would expect to carry out which of the following orders immediately after the procedure?

A) Transport to the aspirated fluid to the lab within 30 minutes. B) Encourage the child to drink fluids postprocedure. C) Use cold therapy and apply a pressure dressing to the site. D) Apply heat therapy and a pressure dressing to the site.

Nursing

Which drug is a first-generation cephalosporin?

a. Cefepime (Maxipime) b. Cefotaxime (Claforan) c. Cefoxitin (Mefoxin) d. Cefazolin (Kefzol)

Nursing