HESI MEDSURG 4 EXAM

HESI MEDSURG 4 EXAM Quiz1 Question 1 2 / 2 pts A client presents with red, inflamed skin covered with papules, vesicles, and bullae from a type IV hypersensitivity reaction. Which condition/disease will the nurse most likely observe written in the client’s electronic medical record? Allergic rhinitis Correct! Contact dermatitis Goodpasture syndrome Systemic lupus erythematosus (SLE) Question 2 2 / 2 pts A client is admitted to the emergency department with allergic rhinitis and asthma. The laboratory report shows histamines and prostaglandins. Which type of hypersensitivity reaction may have occurred? Correct! Type I Type II Type III Type IV Question 3 2 / 2 pts A client is admitted with systemic lupus erythematosus (SLE). The laboratory report shows the presence of neutrophils and monocytes as mediators of injury. Which type of hypersensitivity reaction most likely occurred in the client? Type I Type II Correct! Type III Type IV Question 4 3 / 3 pts Which conditions may result from immunoglobulin IgE antibodies on mast cells reacting with antigens? Select all that apply. Correct! Asthma Correct! Hayfever Sarcoidosis Myasthenia gravis Rheumatoid arthritis Question 5 2 / 2 pts An arterial blood gas report indicates the client's pH is 7.25, PCO 2 is 35 mm Hg, and HCO 3 is 20 mEq/L. Which disturbance should the nurse identify based on these results? Correct! Metabolic acidosis Metabolic alkalosis Respiratory acidosis Respiratory alkalosis Question 6 2 / 2 pts A nurse is caring for a client with severe dehydration and its associated acid-base imbalance. What compensatory mechanism within the body is activated to counteract the effects of the client's acid-base imbalance? Profuse diaphoresis Increased temperature Correct! Increased respiratory rate Renal retention of hydrogen ions Question 7 2 / 2 pts During the progressive stage of shock, anaerobic metabolism occurs. Which complication should the nurse anticipate in this client? Correct! Metabolic acidosis Metabolic alkalosis Respiratory acidosis Respiratory alkalosis Question 8 0 / 2 pts A nurse is caring for a client after abdominal surgery and encourages the client to turn from side to side and to engage in deep-breathing exercises. What complication is the nurse trying to prevent? Metabolic acidosis Metabolic alkalosis Correct Answer Respiratory acidosis You Answered Respiratory alkalosis Question 9 2 / 2 pts A 60-year-old client with gastric cancer has a shiny tongue, paresthesias of the limbs, and ataxia. The laboratory results show cobalamin levels of 125 pg/mL. Which medication would the nurse consider to be a high priority for the client? Oral hydroxyurea Correct! Vitamin B 12 injections Oral iron supplements Erythropoietin injections Question 10 2 / 2 pts A client with upper gastrointestinal (GI) bleeding develops mild anemia. What should the nurse expect to be prescribed for this client? Dextran Correct! Iron salts Vitamin B 12 Erythropoietin