A woman with a miniature dachshund has just married. The dachshund sleeps with her. Her husband has allergic rhinitis. What should the nurse instruct the couple to do?
A) Remove the pet from the bedroom.
B) Allow the dog in bed but vacuum daily.
C) Sleep with down comforter and pillows.
D) Sleep with the windows open.
Ans: A
Feedback: In avoidance therapy, every attempt is made to remove the allergens that act as precipitating factors. Simple measures and environmental controls are often effective in decreasing symptoms. Examples include use of air conditioners, air cleaners, humidifiers, and dehumidifiers; removal of dust-catching furnishings, carpets, and window coverings; removal of pets from the home or the bedroom. Vacuuming the bedroom daily is an important activity, but the dog should be removed from the room. The patient and his wife should be instructed to use pillow and mattress covers that are impermeable to dust mites. The use of goose down should also be avoided. It is important to use allergy-free synthetic bedding.
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A patient becomes unresponsive. The patient's heart rate is 32 beats/min, idioventricular rhythm; blood pressure is 60/32 mm Hg; SpO2 is 90%; and respiratory rate is 14 breaths/min. Which of the following interventions would the nurse do first?
a. Notify the physician and hang normal saline wide open. b. Notify the physician and obtain the defibrillator. c. Notify the physician and obtain a temporary pacemaker. d. Notify the physician and obtain a 12-lead ECG.
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The nurse expresses surprise at the client's appearance and reports that this is not the normal appearance of the client, who is usually clean and meticulously groomed. Based on this information, which assessments are priority to plan this client's care? Select all that apply. 1. Food preferences. 2. Psychosocial assessment. 3. Memory assessment and orientation. 4. Spiritual assessment. 5. Body systems examination.
A nurse is teaching a group of nursing students about immunoglobulins. Which statement by a student indicates a need for further teaching?
a. "IgD provides a first line of defense against microbes entering the body through the lungs." b. "IgE plays a role in hypersensitivity reac-tions and responses to parasites." c. "IgG and IgM participate in the comple-ment response to promote target cell ly-sis." d. "Neonatal immunity is the result of IgG crossing the placenta."