A child has an anaphylactic reaction to contrast dye used in an X-ray. After the emergency is over and the child is stable in the intensive care unit, the nurse explains to the parents what happens in anaphylaxis
The nurse explains that histamine is released during an anaphylactic reaction and that the action of histamine includes: Standard Text: Select all that apply. 1. Release of IgE antibodies.
2. Smooth muscle contraction.
3. Increased capillary permeability.
4. Vasoconstriction.
5. Red cell destructions
2,3
Rationale 1: IgE antibodies cause the release of histamine, not the other way around.
Rationale 2: Smooth muscle contraction causes the constriction of the bronchioles, which causes the wheezing and respiratory distress.
Rationale 3: Increased capillary permeability causes the plasma to leak into surrounding tissues, including the lungs, leading to pulmonary edema.
Rationale 4: Anaphylaxis causes vasodilation, not vasoconstriction.
Rationale 5: Histamine does not cause red cell destruction.
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The nurse is caring for a home health patient who had a spinal cord injury at C5 three years ago. The nurse bases the plan of care on the knowledge that the patient will be able to:
a. feed self with setup and adaptive equipment. b. transfer self to wheelchair. c. stand erect with full leg braces. d. sit with good balance.
The nurse is visiting a mother who has a 3-month-old infant that has been hospitalized for cardiac problems. Which nursing diagnosis should the nurse use to guide care for this family at this time?
A) Health-seeking behaviors related to adjusting to parenthood B) Risk for impaired parenting related to hospitalization of infant C) Disturbed maternal sleep pattern related to infant's feeding schedule D) Deficient knowledge related to normal infant growth and development
A nurse is observing the progress of an elderly client started on a new medication for dementia
Which is a critical point for the nurse to consider when collecting subjective data about the client and the response to the new medication for dementia? A) Assess the client's body language and nonverbal gestures. B) Disregard the presence of a cross that the client continuously holds. C) Avoid asking the client any direct questions because of the dementia. D) Request that a family member be present during the assessment.
Name the four characteristic signs of localized inflammation
What will be an ideal response?