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

The parents of an adolescent tell the nurse, "Our child seems to have allergy symptoms every time we visit our favorite cafe. I don't understand since the only allergy indicated in the testing was to eggs?" How should the nurse respond? a. "Does your child get a whipped cream or foam topping on their favorite drink?" b. "Maybe coffee drinks just don't agree with your child's system." c. "That doesn't really make any sense if your child is only allergic to eggs," d. "May the allergy testing didn't evaluate everything your child is allergic to."

a. "Does your child get a whipped cream or foam topping on their favorite drink?"

The parent of a school-age child comments to the nurse, "Every time my child eats enchiladas at our local Mexican restaurant the child gets a rash. It just does not make sense to me." How should the nurse respond? a. "Has your child ever been tested for a peanut allergy?" b. "Is your child allergic to milk?" c. "That is odd. Does anyone else in your family react that way?" d. "Maybe it is an allergy to something else and you just notice after eating there by coincidence."

a. "Has your child ever been tested for a peanut allergy?"

The mother of a child with myasthenia gravis has called the clinic and reports her child appears very anxious and the child's heart is beating very fast. What action by the nurse is indicated? a. Instruct the child be brought to the emergency department promptly b. Make an appointment for the child to be seen by the physician within 24 hours c. Inquire about any changes in the child's normal routine d. Inquire about when the child's last dose of medication was taken

a. Instruct the child be brought to the emergency department promptly

The registered nurse (RN) and unlicensed assistive personnel (UAP) are caring for a pediatric client with an immune disorder receiving a stem cell transplant. Which action by the UAP will cause the RN to intervene? a. The UAP takes a rectal temperature on the client b. The UAP assists the client to ambulate in the room c. The UAP places a lunch tray in the client's room d. The UAP wears a mask when entering the client's room

a. The UAP takes a rectal temperature on the client

The nurse is providing discharge instructions for a client taking a corticosteroid. Which statements by the parents alert the nurse that clarification of instructions is needed? a. We should be sure to administer the medication on an empty stomach so the medication will be absorbed better." b. "I hope this medication doesn't cause our child's blood sugar to elevate. I know that is one of the side effects." c. "If the medication doesn't seem to be working, we can stop giving to our child at any time." d. "If the medication is helping, our child should feel less discomfort from the chronic inflammation of the disease." e "It concerns me that this medication can prevent us from noticing if our child has an infection."

a. We should be sure to administer the medication on an empty stomach so the medication will be absorbed better." c. "If the medication doesn't seem to be working, we can stop giving to our child at any time."

The nursing instructor has completed a presentation on normal immune function. Which statement by a student would suggest a need for further education? a. "Phagocytosis is the process in which phagocytes swallow up and break down microorganisms." b. "Humoral immunity is immunity mediated by antibodies secreted by B cells." c. "Cellular immunity is cell-mediated immunity controlled by T cells." d. "Humoral immunity is generally functional at birth."

b. "Humoral immunity is immunity mediated by antibodies secreted by B cells."

The nurse is preparing educational materials for a group of new parents about allergic reactions. Which specific immunoglobulin should the nurse emphasize as being responsible for these types of reactions? a. IgA b. IgE c. IgG d. IgM

b. IgE

The nurse is caring for a school-age child recently diagnosed with an allergy to peanuts. Which nursing action is a priority? a. Advise parents the child may not benefit from skin testing b. Include the child when discussing foods that contain peanuts c. Offer the parents information about a community support group d. Remind parents to report the allergy to the child's school teacher

b. Include the child when discussing foods that contain peanuts

The nurse is caring for a 6-month-old infant with Wiskott-Aldrich syndrome. Which teaching does the nurse provide the parent? a. "Do not use a tub bath for daily cleansing." b. "Do not encourage a pacifier due to possible oral malformation." c. "Do not insert anything in the rectum." d. "Do not use a sponge bath for light cleaning."

c. "Do not insert anything in the rectum."

A pediatric client is newly diagnosed with a stinging-insect allergy. Which advice is most appropriate for the nurse to provide this client's parent? a. "Your child should joint a peer support group to help relieve anxiety about this problem>' b. "I recommend you consult a genetic counselor to reveal other susceptible family members." c. "Obtain your child a medical alert ID bracelet so the presence of the allergy can be identified easily." d. "Arrange for your child to receive allergy testing for foods with ingredients similar to those in insect venom>"

c. "Obtain your child a medical alert ID bracelet so the presence of the allergy can be identified easily."

The parents of a 10-year-old with HIV have never told their child that he has the virus. The child asks the nurse why he is "on so many medications." What action should the nurse take? a. The nurse should explain the infection to the child b. The nurse should tell the parents when they enter the child's room that their child has a question for them c. The nurse should encourage the child to talk with his parents about his medications d. The nurse should suggest to the child to speak with his doctor

c. The nurse should encourage the child to talk with his parents about his medications

The nurse is monitoring the CD4 count of an infant who has contracted HIV from the mother in utero. The nurse is concerned that treatment with antiretroviral therapy is not effective when noting which CD4 level? a. 1900/mm^3 b. 1700/mm^3 c. 1500/mm^3 d. 1300/mm^3

d. 1300/mm^3

A nurse is preparing a presentation for a group of new parents and is planning to discuss nutrition during the first year. As part of the presentation, the nurse is planning to address foods that should be avoided to reduce the risk of possible food allergies. Which foods would the nurse most likely include? Select all that apply. a. Eggs b. Shrimp c. Peanuts d. Carrots e. Potatoes f. Bananas

a. Eggs b. Shrimp c. Peanuts

The adoptive parents of a child who is 7 years old and HIV positive are concerned about telling their child about his condition. What information can be provided by the nurse? a. The child should not have information about his health provided at this age b. Children at this age should have full disclosure of their condition c. When providing health information to a child of this age it should be simplistic and at the child's level of understanding d. Once a child is apprised of their health concerns they do not normally experience any after-effects

c. When providing health information to a child of this age it should be simplistic and at the child's level of understanding