The nurse is explaining rheumatoid arthritis (RA) and its causes ...

[segrsyd]

The nurse is explaining rheumatoid arthritis (RA) and its causes to a client newly diagnosed with the condition.
 
  Which of the following would the nurse explain to the client is the type of hypersensitivity reaction that RA is thought to cause in the body? 1. Hypersensitivity type I
   2. Hypersensitivity type II
   3. Hypersensitivity type III
   4. Hypersensitivity type IV

Question 2

The nurse works in a summer camp for children. One of the children says she was bitten by several wasps. The nurse plans to inject the child with epinephrine (EpiPen) if which symptoms are present? (Select all that apply.)
 
  1. The child is restless and confused.
   2. The child's skin feels warm and dry.
   3. The child is thirsty.
   4. The child's skin feels cold and clammy.
   5. The child is hyperactive and hyperverbal.

[joneynes]

Answer to Question 1

3. Hypersensitivity type III

Rationale:
RA causes a type III hypersensitivity reaction, an autoimmune response with immune complexes circulating in the blood and tissues causing varied symptoms. Type I hypersensitivity reactions are immediate and can be life-threatening. Type II reactions occur in 15 to 30 minutes. Type IV reactions are delayed hypersensitivity reactions.

Answer to Question 2

1. The child is restless and confused.
3. The child is thirsty.
4. The child's skin feels cold and clammy.

Rationale:
General symptoms of shock include behavioral changes such as restlessness, anxiety, confusion, depression, and apathy. Thirst is a common complaint in shock. The skin may feel cold and clammy in shock, not warm and dry. In shock, the client will not be hyperactive or hyperverbal.

[segrsyd]

Thanks

[joneynes]

Welcome