Chapter 32 NCLEX-Style Review Questions

What statement made by a client suggests a need for further teaching on the risk factors associated with drug allergies?

"If you didn't have allergies as a child, you won't develop allergies later in life."

When providing health education to a client prescribed diphenhydramine, what information should the nurse convey to the client?

"This drug is likely to make you feel drowsy."

What factor is consistent with a drug reaction?

1. It occurs approximately 7 to 10 days after initial exposure to the suspected drug. 2. It follows a previous exposure to the same or similar drug. 3. It follows ingestion of a drug known to produce allergic reactions.

Why are second-generation H1 receptor antagonists less likely to cause central nervous system (CNS) depression?

1. They are selective for peripheral H1 receptors. 2. They do not cross the blood-brain barrier.

What outcome may be expected if allergic rhinitis is improperly treated?

1. asthma 2. insomnia 3. chronic fatigue 4. sinusitis

What situation would be an indication for a prescription of a first-generation antihistamine?

1. dermatitis 2. allergic rhinitis 3. motion sickness

First-generation antihistamines frequently cause what adverse effects?

1. dry mouth 2. blurred vision 3. urinary retention

Which drug is commonly implicated in anaphylactic reaction?

1. penicillin 2. cisplatin 3. aspirin

When should a client prescribed diphenhydramine take the medication to prevent motion sickness during a ferry boat ride?

30 to 60 minutes before the ferry trip

When providing client education regarding food allergies, what statement made by the nurse would indicate a need for further education on the subject?

Foods have an equal risk of causing an allergic response.

Which statement accurately describes an aspect of serum sickness?

It is a delayed hypersensitivity reaction.

A pregnant client asks if there is anything she could do to prevent her baby from developing allergies. Which statement should underlie the nurse's response to the client?

Parents should discuss the introduction of solid foods to their infants with the health care provider.

What hospital procedure has the greatest potential to cause an anaphylactoid reaction?

administration of contrast media for diagnostic tests

A client's report of nasal congestion, itching, sneezing, and watery drainage, including itching of the throat, eyes, and ears, are consistent with what situation?

allergic rhinitis

What medication should be prescribed to minimize the risk associated with a blood transfusion for a client with a history of previous transfusion reaction?

diphenhydramine