U8 Quiz Ch. 33 Allergic Disorders

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?

Jabs the auto-injector into the outer thigh at a 90 degree angle

Which of the following is the most frequent route of exposure to a latex allergy?

cutaneous

Which type of hypersensitivity occurs when the system mistakenly identifies a normal constituent of the body as foreign?

cytotoxic

The nurse is teaching a client about allergic rhinitis and its triggers. What is the most common trigger for the respiratory allergic response?

plant pollen

The nurse explains to a client that immunotherapy initially starts with injections at which interval?

weekly

When evaluating a client's knowledge about use of antihistamines, what statement indicates further education is required?

"If I am pregnant, I should take half the dose"

.A nurse is reviewing the dietary history of a client who has experienced anaphylaxis. What would the nurse identify as a common cause of anaphylaxis? Select all that apply.

- milk - eggs - shrimp

The nurse observes diffuse swelling involving the deeper skin layers in a client who has experienced an allergic reaction. The nurse would correctly document this finding as

Angioneurotic edema

A client with lupus had antineoplastic drugs prescribed. Why would the physician prescribe antineoplastic drugs for an autoimmune disorder?

For their immunosuppressant effect

A client reports to a healthcare provider's office for intradermal allergy testing. Before testing, the nurse provides client teaching. Which client statement indicates a need for further education?

If I notice tingling in my lips or mouth, gargling may help the symptom

A client develops a facial rash and urticaria after receiving penicillin. Which laboratory value does the nurse expect to be elevated?

IgE

The nurse is teaching a group of healthcare workers about latex allergies. What reaction will the nurse teach the workers to be most concerned about with laryngeal edema?

IgE-mediated hypersensitivity

The nurse is working with a client with allergies. What will the nurse use to confirm allergies and decrease the risk of anaphylaxis?

Intradermal Testing

The nurse is teaching a client with allergic rhinitis about medications. What medication is a mast cell stabilizer used in the treatment of allergic rhinitis?

Intranasal cromolyn sodium

A client is prescribed montelukast as part of a treatment plan for an allergic disorder. The nurse understands that this drug belongs to which class?

Leukotriene-receptor antagonist

The client presents to the emergency department with a suspected allergic reaction to the antibiotic they were given at the quick care clinic to treat their pneumonia. What are the priority actions the nurse should take? Select all that apply.

Place oxygen on the client, take vital signs, insert an intravenous line

A patient with a history of allergies comes to the clinic for an evaluation. The following laboratory test findings are recorded in the patient's medical record -Total serum IgE levels: 2.8 mg/mL -White blood cell count: 5,100/cu mm - Eosinophil count: 4% - Erythrocyte sedimentation rate: 20 mm/h The nurse identifies which result as suggesting an allergic reaction?

Serum IgE level

The nurse is working with a colleague who has a delayed hypersensitivity (type IV) allergic reaction to latex. Which statement describes the clinical manifestations of this reaction?

Symptoms are localized to the area of exposure, usually the back of the hands

A client with severe environmental allergies is scheduled for an immunotherapy injection. What should be included in teaching the client about this treatment?

The client will remain in the clinic to be monitored for 30 minutes following the injection

The nurse is conducting a community education program on allergies and anaphylactic reactions. The nurse determines that the participants understood the education when they make which statement about anaphylaxis?

The most common cause of anaphylaxis is penicillin

What education should the nurse provide to the patient taking long-term corticosteroids?

The patient should not stop taking the medication abruptly and should be weaned off the medication

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 client is prescribed an oral corticosteroid for 2 weeks to relieve asthma symptoms. The nurse educates the client about side effects, which include

adrenal suppression

The nurse is teaching a client after a medication allergic reaction has occurred. What is the most important action for the nurse to teach the client to take to prevent anaphylaxis?

avoid potential allergens

The nurse knows the best strategy for latex allergy is

avoidance of latex based products

A client has begun 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 nurse comes to the employee health center for evaluation and is diagnosed with allergic contact dermatitis related to latex. What manifestation would the nurse most likely exhibit?

blistering

A client visits the employee health department because of mild itching and a rash on both hands. What will the employee health nurse focus on during the assessment interview?

chemical and latex glove use

While interviewing a client with an allergic disorder, the client tells the nurse about an allergy to animal dander. The nurse knows that animal dander is what type of substance?

complete protein antigen

A client with an allergic disorder calls the nurse and asks what treatment is available for allergic disorders. The nurse explains to the client that there is more than one treatment available. What treatments would the nurse tell the client about?

desensitization

The client presents to the clinic with reports of itching and hives after taking an aspirin this morning. What medication does the nurse anticipate administering that blocks histamine receptors?

diphenhydramine

A client calls the clinic and asks the nurse if using oxymetazoline nasal spray would be all right to relieve the nasal congestion the client is experiencing due to seasonal allergies. What instruction should the nurse provide to the client to avoid complications?

do not overuse the medication as rebound congestion can occur

When assessing the skin of a client with allergic contact dermatitis, the nurse would most likely expect to find irritation at which area?

dorsal aspect of the hand

A patient is experiencing an allergic reaction to a dose of penicillin. What should the nurse look for in the patient's initial assessment?

dyspnea, bronchospasm, and/or laryngeal edema

The nurse is reviewing various medications with a client that can be used to treat allergic disorders. What medication will the nurse identify as an intranasal corticosteroid?

fluticasone

Which term refers to an incomplete antigen?

hapten

The nurse is evaluating a client's complete blood cell count and differential along with the serum immunoglobulin E (IgE) concentration. Which result might indicate that the client has an allergic disorder?

high IgE concentration

A nurse is working in a dermatology clinic with clients who have allergies. What is the most important chemical mediator involved in the allergic response?

histamine

Which body substance causes increased gastric secretion, dilation of capillaries, and constriction of the bronchial smooth muscle?

histamine

The nurse working in an allergy clinic is preparing to administer skin testing to a client. Which route is the safest for the nurse to use to administer the solution?

intradermal

The clinic nurse is caring for a client with an allergic disorder who has received the first sensitizing dose of a new drug. Now, the client is given a second dose. What nursing action is most important at this stage of transition?

monitor the client for reactions

The nurse is teaching a client about histamine release during an anaphylactic reaction. What does histamine release in anaphylaxis cause?

nasal congestion

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 all other types of hypersensitivity responses?

no antibody production

A client has had a "stuffy nose" and obtained an oxymetazoline nasal spray. What education should the nurse provide to the client in order to prevent "rebound congestion"?

only use the nasal spray for 3 to 4 days once every 12 hours

The nurse is teaching a client about contact dermatitis. What type of contact dermatitis requires light exposure in addition to allergen contact?

photoallergic

The nurse is completing the intake assessment of a client new to the allergy clinic. The client reports taking nose drops six times a day to relieve nasal congestion. The nasal congestion increased, causing the client to increase his usage of the nasal spray to eight times a day. But again the congestion worsened. The nurse communicates to the healthcare provider that the client is experiencing which condition?

rhinitis medicamentosa

A patient asks the nurse if it would be all right to take an over-the-counter antihistamine for the treatment of a rash. What should the nurse educate the patient is a major side effect of antihistamines?

sedation

A client presents with itching, swelling, redness, and wheels of superficial skin layers. What is the most likely type of allergy this client is displaying?

urticaria

The nurse is preparing a discharge teaching plan for a client with atopic dermatitis . Which instruction should the nurse include in the teaching plan?

use a topical skin moisturizer daily

The nurse is teaching a client newly diagnosed with a peanut allergy about how to manage the allergy. What information should be included in the teaching? Select all that apply.

- wear a medic alert bracelet - list symptoms of peanut allergy - carry EpiPen injector at all times - identify ways to manage allergy while dining out

The nurse is teaching a client how to self administer epinephrine using an EpiPen auto injector. What information should be included in the teaching? Select all that apply

-Jab the EpiPen auto injector firmly into the outer thigh -after administering the injection massage the area for 10 seconds -hold the EpiPen auto injector against the thigh for 10 seconds

A client with a history of anaphylactic reactions to insect stings has just been stung by a wasp. Place the steps in the correct order that the client will follow for self administration of an EpiPen. Use all options.

1. remove the gray safety release cap 2. inject the black tip into the outer thigh 3. massage the injection area 4. call the emergency medical response number (911)

The nurse tells the client that if exposure to an allergen occurs around 8:00 AM then the client should expect a mild or moderate reaction by what time?

10:00 AM

Maximum intensity of histamine occurs within which timeframe following antigen contact?

15 minutes

The maximum intensity of histamine occurs within which timeframe after contact with an antigen?

5 to 10 minutes

The nurse is caring for a client experiencing an anaphylactic reaction. The nurse prepares for the maximum intensity of histamine response to occur within which time frame?

5 to 10 minutes

The parents of a child with contact dermatitis are asking questions about the reaction within the immune system. What description regarding contact dermatitis as a type IV hypersensitivity reaction is accurate?

A delayed-type hypersensitivity that is mediated by T cells

A client with a history of allergic rhinitis comes to the clinic for an evaluation. The client is prescribed triamcinolone. What will the nurse include when teaching the client about this drug?

Be aware that some nasal burning and itching may occur