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Title: A client is experiencing a transfusion reaction. The nurse realizes that a transfusion reaction is ... Post by: ScarletSky on Mar 1, 2018 A client is experiencing a transfusion reaction. The nurse realizes that a transfusion reaction is which type of hypersensitive reaction?
1. Type 1 2. Type 2 3. Type 3 4. Type 4 Question 2 Which of the following questions should the nurse ask while doing an assessment of a client's digestive system? 1. Were you breastfed or bottle-fed as an infant? 2. Do you have knowledge of the food pyramid? 3. What medication have you taken, even over-the-counter drugs? 4. Do you drink coffee or tea with meals? Question 3 The nurse is determining if a client is experiencing an immune response. Which of the following is not one of the four R's of the immune response? 1. Recognize 2. Remember 3. Remove 4. Respond Question 4 A client asks the nurse what will happen to her digestion if she needs to have her appendix removed. The nurse should respond that the purpose of the appendix is: 1. to digest food products and another organ will take over this function. 2. to absorb nutrients and another organ will take over this function. 3. to secrete enzymes and another organ will take over this function. 4. nothing, so no other organ will need to take over this function. Question 5 A client is diagnosed with progressive systemic sclerosis. Which of the following will the nurse most likely assess in this client? (Select all that apply.) 1. Telangiectasia 2. Sclerodactyly 3. Difficulty swallowing 4. Painful cold hands and fingers 5. Small white calcium deposits under the skin 6. Hematuria Title: A client is experiencing a transfusion reaction. The nurse realizes that a transfusion reaction is ... Post by: Tingya on Mar 1, 2018 Type 1 reactions are anaphylactic reactions. Type 2 is cytotoxic (e.g., transfusion reaction). Type 3 is immune complex. Type 4 is delayed hypersensitive. During the assessment, it is very important to discover what medications or over-the-counter drugs are being taken by the patient. Treatment and therapies may change because of this information. How the client was fed as an infant is not a part of this assessment. Asking if the client has knowledge of the food pyramid is not part of this assessment. If the client drinks coffee or tea with meals is not a part of this assessment. The four R's of the immune response are recognize, respond, remember, and regulate. The regulate action is turning on for the invader or turning off when the invader is destroyed. It is not about removing. The appendix is a blind-ended, tube-like structure exiting from the cecum, and it has no function in humans. The appendix is not needed to digest food, absorb nutrients, or secrete enzymes. In progressive systemic sclerosis, the skin, muscle, joints, lungs, esophagus, heart, digestive system, and kidneys are often affected in the diffuse subcutaneous form, often termed as CREST. Clinical manifestations include calcinosis, or small white calcium deposits under the skin; Raynaud's syndrome, or painful cold hands and fingers; alteration in esophageal movement, or difficulty swallowing; sclerodactyly of the fingers and toes; and telangiectasia or permanent dilation of the capillaries, arterioles, and venules. Hematuria is not seen in this disorder. |