A 44-year-old man has come to the clinic with an asthma exacerbation. He tells the nurse that his father and brother also suffer from asthma, as does his 15 year-old son
The nurse explains that this is an allergic response based on a genetic predisposition. The specific allergen initiated by immunological mechanisms is usually mediated by
A) Immunoglobulin A
B) Immunoglobulin M
C) Immunoglobulin G
D) Immunoglobulin E
Ans: D
Feedback: Atopy refers to allergic reactions characterized by the action of IgE antibodies and a genetic predisposition to allergic reactions. IgG is the most common immunoglobulin and is found in intravascular and intercellular compartments. IgA and IgM are found in mucous secretions.
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An adult patient with a large thermal burn has been receiving intravenous fluid resuscitation calculated by the maximum amount according to the American Burn Association consensus formula
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A patient with HIV infection has begun experiencing severe diarrhea. What is the most appropriate nursing intervention to help alleviate the diarrhea?
A) Administer antidiarrheal medications on a scheduled basis, as ordered. B) Encourage the patient to eat three balanced meals and a snack at bedtime. C) Increase the patient's oral fluid intake. D) Encourage the patient to increase his or her activity level.
The nurse is planning care for a preschool-age child with spastic cerebral palsy. Which nursing diagnosis should the nurse identify to guide care for this patient's musculoskeletal status?
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When a 14-year-old child reports feeling "like I just want to blow that person's head off," the school nurse's initial reaction is to:
a. report the statement to parents, police, and school authorities. b. say to the child, "Tell me what you mean when you say that.". c. restate, "You're feeling really angry with this person right now, aren't you?" d. confer with other staff by asking, "What do you think the child meant by that?"