Chapter 47: Nursing Care of the Child With an Alteration in Immunity/Immunologic Disorder

The nurse is caring for a child who is receiving a skin test to determine the presence of allergies. A positive skin test for one particular allergen shows the mediation of which type of immune globulin?

IgE

The nurse is preparing to administer IVIG to a child who has not received the medication before. What medication should the nurse expect to administer prior to the infusion? ibuprofen prednisone aspirin diphenhydramine

diphenhydramine

The parents are concerned their child with atopic dermatitis is having an allergic reaction to diphenhydramine because the child became "sleepy and has a dry throat" after receiving the medication. Which education provided to the parents by the nurse is most important? "Children with eczema are more likely to have a medication allergy." "Side effects, such as drowsiness and dryness, do not indicate an allergy." "Your child is exhibiting signs and symptoms of an allergic reaction." "Toxic amounts of diphenhydramine can cause this response in children."

"Side effects, such as drowsiness and dryness, do not indicate an allergy."

The nurse is caring for a child who is receiving an intravenous immunoglobulin treatment. The client calls the nurse and reports she vomited. What action should be completed first? Take the client's vital signs. Discontinue the infusion. Contact the physician. Check the physician's orders for an antiemetic.

Discontinue the infusion.

The registered nurse (RN) and an unlicensed assistive personnel (UAP) are providing care to a client receiving intravenous (IV) immune globulin (IVIG) for the treatment of Kawasaki disease. Which task will the RN delegate to the UAP? Obtaining supplies needed for the client's care Disconnecting the client from the IV to assist the client to the bathroom Taking the client's meal tray into the room Discussing the rationale for needing an intravenous line (IV)

Taking the client's meal tray into the room