A type I hypersensitivity to latex is evident if the nurse assesses:

A. Localized swelling
B. Skin redness and itching
C. Runny eyes and nose and cough
D. Tachycardia, hypotension, and wheezing


D
D. Type I allergic reaction is a true latex allergy that can be life-threatening. Reactions vary based on type of latex protein and degree of individual sensitivity, including local and systemic. Symptoms include hives, generalized edema, itching, rash, wheezing, bronchospasm, difficulty breathing, laryngeal edema, diarrhea, nausea, hypotension, tachycardia, and respiratory or cardiac arrest.
A and C. Type IV hypersensitivity is a cell-mediated allergic reaction to chemicals used in latex processing. Reaction can be delayed up to 48 hours, including redness, itching, and hives. Localized swelling, red and itchy or runny eyes and nose, and coughing may develop.
B. Irritant dermatitis is a nonallergic response characterized by skin redness and itching.

Nursing

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A nurse cares for a client newly diagnosed with Graves' disease. The client's mother asks, "I have diabetes mellitus. Am I responsible for my daughter's disease?" How should the nurse respond?

a. "The fact that you have diabetes did not cause your daughter to have Graves' disease. No connection is known between Graves' disease and diabetes." b. "An association has been noted between Graves' disease and diabetes, but the fact that you have diabetes did not cause your daughter to have Graves' disease." c. "Graves' disease is associated with autoimmune diseases such as rheumatoid arthritis, but not with a disease such as diabetes mellitus." d. "Unfortunately, Graves' disease is associated with diabetes, and your diabetes could have led to your daughter having Graves' disease."

Nursing

A high school student who is on the wrestling team has been trying to drop weight before the next match and is now experiencing swollen fingers and a headache. Which laboratory finding should the nurse expect for this client?

a. Sodium 127 mEq/ L b. Potassium 5.5 mEq/ L c. Respiratory rate is 10 per minute d. Temperature 97. 2 degrees Fahrenheit

Nursing

Those extra special, holistic, and more time-consuming nursing interventions such as back or hand message, guided imagery, or music or art therapy are defined as ______ interventions by Kolcaba

A. Technical B. Coaching C. Comfort food for the soul D. All of the above

Nursing

Which patient should the nurse assign as the roommate for a patient who has aplastic anemia?

a. A patient with chronic heart failure b. A patient who has viral pneumonia c. A patient who has right leg cellulitis d. A patient with multiple abdominal drains

Nursing