34 immune part 1
A client has began sensitivity testing to determine the allergen which caused an anaphylactic reaction three weeks ago. In scratch testing, which part of the body is more sensitive to allergens?
Back
A client taking corticosteroid for the treatment of systematic lupus erythematous. When the nurse is providing instructions about the medication to the client, what priority information should be included?
Be alert for signs & symptoms and infections and report them immediately to the physician
A client comes to the clinic and states that he has broken out into hives and itching since eating strawberries this morning. The client states that he has never had problems with strawberries before. What is the best response by the nurse?
It is possible to develop an allergic reaction to something you have had prior exposure to previously
A client presents with symptoms consistent with allergic contact dermatitis. What are known contact ants that may have caused the clients allergic response? Select all that apply.
Latex, occupational chemicals, and hair dyes
A client presents with itching, swelling, redness, and wheals of superficial skin layers. What is the most likely type of allergy this client is displaying?
Urticaria
A client is given a dose of Ketorolac (Toradol) A nonsteroidal anti-inflammatory drug for complaints of abdominal pain. 10 minutes after receiving the medication the client eyes, lips and face begin to swell and the nurse hears stridor. What priority measures should the nurse prepare to do?
Administer epinephrine
A client is undergoing sensitivity testing to defined the allergen which is causing the client difficulty. Before the procedure begins, the nurse indicates the various routes in which an allergen can be introduced. What is an allergen introduction route?
Injection, ingestion, and inhalation
A client has developed an allergic response to an unknown allergen and is seeking information. How can an allergic response manifest?
Localized reaction, temporary reaction, life-threatening reaction
A nurse educator is giving a lecture on auto immunity. Included in the lecture are current theories that explain the development of autoimmune disorders. Which theories with the educator include? Select all that apply.
Cross antigen theory, diminish T suppressor theory, and viral mutation theory
The nursing instructor is discussing allergic reactions with her clinical group what allergic reactions will the nurse instructor talk about? Select all that apply.
Cytotoxin Atopic Immune complex
A client receive two units of packed red blood cells while in the hospital with rectal bleeding. Three days after discharge the client experience allergic response and begin to eat and break out with hives. What type of reaction does the nurse understand could be occurring?
Delayed hypersensitivity response
A client presents to the clinic with complaints he has began to itch and break out into hives after taking aspirin this morning. What medication does the nurse anticipate administering that blocks histamines receptors
Diphenhydramine (Benadryl)
A client is scheduled for a diagnostic skin testing in one week. What should the nurse be sure to instruct the client prior to schedule appointment?
Do not take prescribed over-the-counter anti-histamines or cold preparations for at least 72 hours before testing.
A client calls the clinic and ask the nurse if using Afrin nasal spray would be all right to relieve the nasal congestion he is experiencing due to seasonal allergies. What instruction should the nurse provide to the client to avoid complications?
Do not use Afrin for longer than 3 to 5 days in a row or rebound congestion can occur
A client with allergic disorder is in treatment for his disorder. What might the treatment be?
Drug therapy for symptoms
For a client with chronic fatigue syndrome (CFS), what should the nurse emphasize during client teaching?
Ensure a balance of activity and rest.
A client is suspected of having a food allergy. The clients rheumatologist recommends an elimination diet to assist in identifying food allergens. What would not be included in the nurses description of the process involved?
If symptoms return after re-introducing foods, this confirms the food is an allergen that should be avoided.
Client is presenting an anaphylactic response to unknowingly ingesting nuts at a family celebration. What action is of primary importance upon admission?
Maintain airway
The clinic nurse is caring for a client with an allergic disorder who has received the first sensitizing dose of a new drug. What nursing action is most important at this point?
Monitor the client for reactions
A nurse has developed a latex allergy and now uses latex free purple gloves to avoid a hypersensitivity response. What in this nurse's reaction to latex differs from other types of hypersensitivity responses?
No antibody production
The nurse is interviewing a client being admitted to the hospital and inquires about any allergies the client has. The client states he is allergic to aspirin and penicillin. What intervention should the nurse provide immediately to prevent complications related to allergies?
Apply an allergy bracelet and flag the chart
A client has had several recent clinical visits for allergic contact dermatitis. The nurse explained to the client that allergy testing as indicated. Which test will most likely be performed?
Patch test
A client comes to the clinic and informed the nurse that he feels as though he has allergies. What laboratory test will be positive indicator for an allergic disorder?
Radioallergosorbent blood test (RAST) of 3
A pediatric client is recovering from an anaphylactic reaction to an Allergan which brought him to the ED. The client's mother is quite concerned with the potential reoccurrence of her child's reaction. In attempting to narrow down the possible allergen, it is important to consider that clinical manifestations generally correlate with:
Route of exposure
A client is having an allergic response to an unknown Allergan. Which body structures are primarily involved in allergic allergic reactions? Select all that apply.
Skin, and Gastrointestinal tract
A client is taking oral corticosteroids after having a exacerbation of asthma. What should the nurse be sure to include when instructing the client how to take the medication
Take the medication in the morning with food
A client is prescribed antihistamines, and asks the nurse asked about administration and adverse effects. The nurse should advise the client to avoid:
Alcohol
Which allergic reaction is potentially life-threatening?
Angioedema
Your client is about to have a skin test for an Allergic disorder. What critical instruction should the nurse give this client
Avoid antihistamines and cold preparations for 48 to 72 hours before the test
A client informed the nurse that he is very allergic to poison ivy but loves to go camping and has several camping trips planned for the summer months. What suggestions can be made to protect against poison ivy?
Bentoquatam 5% (Ivy Block) apply 15 minutes prior to exposure and every four hours
A nurse is providing education to a client scheduled for diagnostic skin testing. Which medication will the nurse advised the client to see his administration of for five days before testing?
Cetirizine
A client scheduled to have a prick test to determine what specific allergens are creating problems for the client. what should the nurse informed the client is involved while the testing
The skin will be scratched, and applying a small amount of liquid test antigen to the scratch usually on the back
A client is presenting an anaphylactic response to unknowingly ingesting nuts at a family celebration. What type of hypersensitivity did this client exhibit?
Type I
A pediatric client is recovering from an anaphylactic reaction to an allergen. In the first assessment, the client presents with a periorbital accumulation of blood, a common occurrence in children. What type of allergic reaction presents "allergic shiners"?
Type I
In its attempt to suppress allergic responses, the body releases several chemicals which have a role and mediating physical reactions. Epinephrine, which interferes with vasoactive active chemical release from mast cells, is instrumental in suppressing which type of hypersensitivity response?
Type I
A client has an allergic reaction to seafood with generalized edema and informs the nurse that he is unable to get his wedding ring off and it's too tight. The client was unable to remove it with soap and water. What action by the nurse can facilitate removal of the ring without damaging it?
Use twine to wrap the finger and, when the tissues is compressed, pull the free end of the twine and remove the ring.
A client has been seeing an allergist for six months for treatment of allergies. The clients allergies have been is sufficiently controlled by symptomatic treatments and the physician has suggested desensitization. The anticipated outcome of desensitization is that repeated exposure to the:
Weak antigen promotes the production of IgG, an antibody that blocks IgE so it cannot stimulate mast cells.
The nurse is talking with a client who was stung by a bee and begin having difficulty breathing. What serious complications from injected venom should the nurse discussed with the client?
Airway obstruction
A client comes in to the clinic to see the physician with the complaint of "I think I ate something that I'm allergic to". What symptoms would be appropriate for the nurse to ask the questions about?
Diarrhea and abdominal cramping
A client presents at the clinic with an allergic disorder. The client asked the nurse what an allergic disorder means. What would the nurse best response be
It is a hyperimmune response to something in the environment that is usually harmless
Which are the appropriate interventions to help client with auto immune disorder deal with joint pain secondary to inflammation, malaise and fatigue? Select all that apply.
Rest during periods of severe exacerbation Exercise regularly during periods of remission Use nonpharmacological pain management strategies
