The nurse is assessing a young adult college student who is ...

[savannahhooper]

The nurse is assessing a young adult college student who is experiencing red, swollen eyes that are oozing a yellowish drainage. The client is complaining of photophobia. Which is the most appropriate question for the nurse to ask the client?
 
  A) Have you had extra caffeine this week?
  B) Did you get sand in your eye recently?
  C) Have you been exposed to HIV?
  D) Have any of your friends experienced these symptoms?

Question 2

A nurse is caring for a pediatric client who is receiving an infusion of intravenous antibiotic at the ambulatory clinic. Which clinical manifestation indicates that the client is experiencing a type I hypersensitivity reaction?
 
  A) Erythema
  B) Fever
  C) Joint pain
  D) Hypotension

[harveenkau8139]

Answer to Question 1

Answer: D

The client is exhibiting signs and symptoms of conjunctivitis. The nurse should explore ways in which the client may have been exposed. Most cases of conjunctivitis are spread by hand to eye contact. Exposure to HIV, sand in the eye, and caffeine are not known causes of conjunctivitis and would not be appropriate questions to ask this client to determine the cause of the symptoms.

Answer to Question 2

Answer: D

Clinical manifestations associated with a type I hypersensitivity reaction include hypotension, wheezing, gastrointestinal or uterine spasm, stridor, and urticaria. Erythema and fever are associated with type IV hypersensitivity reactions. Fever and joint pain are associated with a type III hypersensitivity reactions.

[savannahhooper]

TYSM

[Dnite]

Gracias!