The nurse conducts group education for clients with seasonal allergies and teaches about the role of histamine. The nurse evaluates that the education has been effective when the clients make which statement?
1. "Histamine is inhibited by nonsteroidal anti-inflammatory drugs (NSAIDs).
2. "Histamine dilates the vessels in the nose, so it is congested and stuffy."
3. "Histamine constricts vessels, causing capillaries to become more permeable."
4. "Histamine is primarily stored in phagocyte cells in the skin."
2
Rationale 1: Nonsteroidal anti-inflammatory drugs (NSAIDs) inhibit the synthesis of prostaglandins and do not affect histamine.
Rationale 2: Histamine dilates blood vessels causing capillaries to become more permeable. The affected area may become congested with blood.
Rationale 3: Histamine dilates, not constricts, vessels, causing capillaries to become more permeable.
Rationale 4: Histamine is primarily stored in mast cells, not phagocyte cells.
Global Rationale: Histamine dilates blood vessels causing capillaries to become more permeable. The affected area may become congested with blood. Nonsteroidal anti-inflammatory drugs (NSAIDs) inhibit the synthesis of prostaglandins and do not affect histamine. Histamine dilates, not constricts, vessels, causing capillaries to become more permeable. Histamine is primarily stored in mast cells, not phagocyte cells.
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The mother of a young child voices concern about immunizations for her child. The nurse's best response to the mother's concerns is:
a. "Immunization is generally a safe method of avoiding certain diseases and the com-plications that go along with these diseas-es." b. "There are no risk factors associated with immunizations, so there is no reason to worry." c. "I really don't understand the thinking behind people not immunizing their children if it can prevent disease." d. "Recommendations of Healthy People 2020 Goal 14 is to reduce or eliminate cases of vaccine-preventable diseases, so I strongly urge you to immunize your child."
A patient is being discharged on enoxaparin (Lovenox). Which statement does the nurse include in the discharge teaching plan?
a. "An advantage of this drug is that labs do not need to be drawn to guide therapy." b. "Follow-up lab work must be drawn every 2 to 6 months." c. "Enoxaparin is given intramuscularly twice a day." d. "The purpose of this drug is to dissolve clots."
Under servant leadership, followers may become servant leaders themselves. This is an example of what?
a. Organizational performance b. Leadership duplication c. Follower performance and growth d. Societal impact
A patient has been receiveing an aminophylline (xanthine derivative) infustion for 24hrs. The nurse will expect to see which adverse effect when assessing the patient during the infusion?
a. CNS depression b. sinus tachycardia c. increased appetite d. temporary urinary retention