Immunity

The nurse is caring for a client who appears to be developing anaphylactic shock. What drug does the nurse anticipate the health care practitioner will order to treat this condition?

Epinephrine (Adrenalin) Furosemide (Lasix) Acetylsalicylic acid (Aspirin) Acetaminophen (Tylenol)

The nurse is conducting discharge teaching for a client who is being discharged from the emergency department after an anaphylactic reaction to peanuts. Which education should the nurse include in the teaching? Select all that apply.

Use of sedatives to treat reactions Desensitization to allergen Wearing a medical alert bracelet Avoiding allergens

A client has developed a wound infection and leukocytes are leaving the bloodstream to perform phagocytosis on pathogens. What white cells are most likely performing this function?

...

A patient with allergic rhinitis is prescribed an antihistamine. The nurse instructs the patient to suck on a sugarless hard candy to prevent which condition?

Altered sensation of taste Drowsiness and sedation Thickening of the bronchial secretion Dryness of the oral mucosa and the throat

A school nurse is caring for a child who appears to be having an allergic response. What should be the initial action of the school nurse?

Assess for erythema and urticaria. Assess for signs and symptoms of anaphylaxis. Administer epinephrine. Administer an over-the-counter (OTC) antihistamine.

A child is undergoing skin testing for allergies. About 10 minutes after a scratch test with an allergen, the child develops signs and symptoms of anaphylaxis. The nurse prepares to administer epinephrine subcutaneously. The child weighs 88 pounds. The nurse would administer which dosage of epinephrine?

0.2 mg 0.4 mg 0.8 mg 1 mg Ricci, S.S., Kyle, T., Carman, S. Maternity and Pediatric Nursing, 3rd ed. Philadelphia: Wolters Kluwer Health, 2017, Chapter 47: Nursing Care of the Child With an Alteration in Immunity/Immunologic Disorder, p. 1853.

A camp nurse has been rushed to a playing field where a girl appears to be experiencing an anaphylactic reaction. The nurse has had the child rushed to the camp's infirmary. What action should the nurse prioritize in the immediate care of this child?

Administer analgesics if available. Position the girl in high Fowler's. Maintain the patency of the girl's airway. Closely monitor the girl's heart rate.

A client who is experiencing pruritus after being bitten by a mosquito asks the nurse what the most effective treatment would be. The best response by the nurse is:

Administration of an antihistamine. Administration of an opioid antagonist. Phototherapy will be helpful. Vagus nerve stimulation.

A client has been brought to the emergency department by EMS after being found unresponsive. Rapid assessment reveals anaphylaxis as a potential cause of the client's condition. The care team should attempt to assess for what potential causes of anaphylaxis? Select all that apply.

Autoimmunity Foods Environmental pollutants Insect stings Medications

After teaching a client how to self-administer epinephrine, the nurse determines that the teaching plan has been successful when the client demonstrates which action?

Avoids massaging the injection site after administration Jabs the autoinjector into the outer thigh at a 90-degree angle Pushes down on the grey release cap to administer the medication Maintains pressure on the auto-injector for about 30 seconds after insertion

An elementary school student has a severe allergy to peanuts and is displaying the signs of anaphylactic shock after inadvertently eating a candy bar containing peanuts. Which statement best describes the child's current status and preferred treatment?

The child is experiencing shortness of breath caused by potent vasoconstriction, which can be relieved by epinephrine injection. The child is likely in a primary- or initial-stage allergic response that can be relieved by antihistamine administration. The child's mast cells and basophils have been sensitized, but systemic effects can be mitigated by administration of bronchodilators. The child is approaching vascular shock and developing edema due to actions of IgE antibodies, situations that can be reversed by administration of epinephrine.

The nurse is assessing a client's risk for impaired immune function. What assessment finding should the nurse identify as a risk factor for decreased immunity?

The client had a pulmonary embolism 18 months ago. The client is under significant psychosocial stress. The client takes a beta blocker for the treatment of hypertension. The client has a family history of breast cancer.

A child has been diagnosed with a severe walnut allergy after suffering an anaphylactic reaction. What is the nurse's priority for health education?

The need to begin immunotherapy as soon as possible The need for the parents to carry an epinephrine pen The need to vigilantly maintain the child's immunization status The need for the child to avoid all foods that have a high potential for allergies

The type of hypersensitivity reaction that is mediated by IgG or IgM antibodies directed against target antigens on specific host cell surfaces or tissues is also known as which type of hypersensitivity reaction?

Type IV Type II Type III Type I

The parent of a child with allergies has been told the child will have a blood test done for immunoglobulin measurement. The nurse should tell the parent that which immunoglobulin will be tested?

IgA IgE IgG IgM

A person has been exposed to a particular antigen and a now experiences a repeat exposure. What stimulates a quicker immune response?

Macrophages Memory T cells Immunity Antibodies Chapter 11: Innate and Adaptive Immunity - Page 251

Which allergic reaction is potentially life threatening?

None of the listed allergic reactions is potentially life threatening. contact dermatitis urticaria angioedema

While obtaining a health history, a nurse learns that a client is allergic to bee stings. When obtaining this client's medication history, the nurse should determine if the client keeps which medication on hand?

Pseudoephedrine (Sudafed) Loperamide (Imodium) Guaifenesin (Robitussin) Diphenhydramine (Benadryl)

A client is transported to the emergency department in respiratory distress after eating peanuts. The following interventions are ordered by the health care provider. Which intervention should the nurse complete first?

Start a normal saline infusion. Administer diphenhydramine. Complete a 12-lead ECG. Administer epinephrine (adrenaline).

Which type of lymphocyte is responsible for cellular immunity?

T lymphocyte (B lymphocyte = humoral or antibody-mediated immunity)

Which condition is treated with an adrenergic agonist?

Tachycardia Anaphylaxis Renal failure Hypertension

Which immunoglobulin (Ig) is the most abundant of circulating antibodies?

IgA IgM IgE IgG

Anaphylaxis kits for clients allergic to bee stings would contain which medication?

norepinephrine dopamine epinephrine aspirin