A nurse in an intensive care unit is planning care for a client with severe bronchospasms triggered by a known allergy to peanuts. The nurse recognizes that constriction is related to inflammatory mediators that trigger:
1. formation of sticky mucous plugs.
2. formation of thick membrane between the alveoli and the capillary bed.
3. constriction of the muscles in the walls of the large bronchiole tubes.
4. swelling of the juncture between the alveolus and the capillary bed.
Correct Answer: 3
Rationale 1: Mucous plugs might form, but the primary issue is the bronchospasms, which are clamping down on the airway.
Rationale 2: The problem is above the level of the capillary bed.
Rationale 3: Allergic reactions can occur when a hypersensitive person is inadvertently exposed to an allergen, causing IgE antibodies to release histamine and other irritating substances. Bronchoconstriction quickly results.
Rationale 4: The problem is above the level of the capillary bed.
Global Rationale: Allergic reactions can occur when a hypersensitive person is inadvertently exposed to an allergen, causing IgE antibodies to release histamine and other irritating substances. Bronchoconstriction quickly results. Mucous plugs might form, but the primary issue is the bronchospasms, which are clamping down on the airway. The problem is above the level of the capillary bed.
You might also like to view...
The nurse finds a medication error made on a prior shift by another nurse. The nurse who discovers the error will:
1. Write a note to the nurse involved explaining the need for an incident report. 2. Ignore the error because it's none of the nurse's business. 3. Report the error to the nursing supervisor to deal with the incident report. 4. Complete an incident report according to facility policy.
When the nurse begins employment in the urgent care center, an important way to prepare for potential bioterrorism and terrorism attacks is to:
1. Remain up to date on all immunizations. 2. Read about the response to the 9/11/2001 terrorist attacks. 3. Discuss the best means of responding with co-workers. 4. Review the facility policy and protocols for disaster responses.
The emergency room nurse is often faced with the responsibility of providing care for people who were responsible for motor vehicle accidents. In some cases, the nurse is caring for that person along with victims of the accident
This situation causes the nurse moral distress. How could the nurse best help to alleviate this distress? 1. Refuse to care for these patients in the future 2. Ask a co-worker to care for the patients 3. Remember to respect the person, not the actions of the person 4. Be frank with the patients about how uncomfortable the nurse is
Identify an accurate statement about triglycerides.
A. Triglycerides, unlike other fats, do not provide energy. B. Triglycerides are mostly a cholesterol core with a fibrous cap. C. Triglycerides are the main form of fat from diet. D. Triglycerides are stored in the body in the form of cholesterol.