The nurse is caring for a client who developed a mild allergic response to a bee sting, including hives, pruritus, and rhinorrhea. The nurse classifies this hypersensitivity reaction as:
1. Level I.
2. Level II.
3. Level III.
4. Level IV.
1
Rationale: Level I reactions are immediate responses to foods, pollens, and insect bites. Level II is a cytotoxic hypersensitivity resulting from a blood transfusion reaction. Level III is an immune hypersensitivity to horse antitoxins, bacteria, fungi, and viruses. Level IV is a delayed hypersensitivity response caused by chemicals, plants, fungi, or mycobacteria.
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The student nurse understands that there are values that all nurses share. The core characteristic of nursing is:
1. Precision. 2. Brevity. 3. Caring. 4. Problem solving.
The nurse is providing care to a client who is exhibiting clinical manifestations of biplar disorder. Which assessment findings support that the client is at an increased risk for this disorder? Select all that apply
A) Blood pressure 120/80 mmHg B) Recent major life-altering event C) Works out at the gym every week D) Currently employed E) Mother diagnosed with bipolar disorder
When assessing an older client for indications of depression, the nurse bases the in-tervention on the knowledge that:
a. The older client's symptoms may be atypical for the disorder b. Depression is a common mental disorder among the older population c. The older client is generally willing to discuss their mental health symptoms d. Depression is not as commonly seen in this population as are anxiety disor-ders
The nurse is assessing a patient's tongue mobility by assessing cranial nerve (CN) ____________________
Fill in the blank with correct word