A student at the local hospital has an anaphylactic reaction to something she ate. What substances most commonly cause anaphylaxis? (Mark all that apply.)
A) Foods
B) Medications
C) Insect stings
D) Grass
E) Gloves
Ans: A, B, C
Feedback: Substances that most commonly cause anaphylaxis include foods, medications, insect stings, and latex. Grass and gloves do not commonly cause anaphylaxis.
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The client is seeing a specialist who provides medical evaluation of hearing disorders and medical and surgical interventions. The nurse explains the client will see:
a. an audiologist c. an ophthalmologist b. a hearing-aid specialist d. an otolaryngologist
A nursing assistant is bathing a patient who has a stage I pressure ulcer on the right shoulder. What action by the health care team could cause that the tissue to become more damaged?
a. Positioning the patient on the left side b. Massaging the reddened area c. Cleaning the area with mild soap and wa-ter d. Positioning the patient in a prone position
How is a type V hypersensitivity reaction different from all other types of known hypersensi-tivities?
A. It is cell-mediated rather than antibody-mediated. B. This type of reaction is an immediate response rather than a delayed response. C. The result of the reaction is a stimulatory response to normal tissues rather than an inhibitory response. D. Type V reactions result in more severe tissue-damaging responses than does any other type of hypersensitivity reaction.
The client is on strict bedrest following hip surgery. Which of the following nursing interventions would support vascular health?
A) Place pillows under the unaffected knee for support. B) Keep the client in a prone position for at least 20 minutes twice a day. C) Have the client alternately flex and extend the feet several times a day. D) Position the bed to flex the knees at least 20 degrees.