34 immune part 1

A client is given a dose of Ketorolac (Toradol) A nonsteroidal anti-inflammatory drug for complaints of abdominal pain. 10 minutes after receiving the medication the client eyes, lips and face begin to swell and the nurse hears stridor. What priority measures should the nurse prepare to do?

Administer epinephrine

The nurse is talking with a client who was stung by a bee and begin having difficulty breathing. What serious complications from injected venom should the nurse discussed with the client?

Airway obstruction

The nurse is interviewing a client being admitted to the hospital and inquires about any allergies the client has. The client states he is allergic to aspirin and penicillin. What intervention should the nurse provide immediately to prevent complications related to allergies?

Apply an allergy bracelet and flag the chart

Your client is about to have a skin test for an Allergic disorder. What critical instruction should the nurse give this client

Avoid antihistamines and cold preparations for 48 to 72 hours before the test

The nursing instructor is discussing allergic reactions with her clinical group what allergic reactions will the nurse instructor talk about? Select all that apply.

Cytotoxin Atopic Immune complex

A client receive two units of packed red blood cells while in the hospital with rectal bleeding. Three days after discharge the client experience allergic response and begin to eat and break out with hives. What type of reaction does the nurse understand could be occurring?

Delayed hypersensitivity response

A client comes in to the clinic to see the physician with the complaint of "I think I ate something that I'm allergic to". What symptoms would be appropriate for the nurse to ask the questions about?

Diarrhea and abdominal cramping

A client presents to the clinic with complaints he has began to itch and break out into hives after taking aspirin this morning. What medication does the nurse anticipate administering that blocks histamines receptors

Diphenhydramine (Benadryl)

A client is scheduled for a diagnostic skin testing in one week. What should the nurse be sure to instruct the client prior to schedule appointment?

Do not take prescribed over-the-counter anti-histamines or cold preparations for at least 72 hours before testing.

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

Do not use Afrin for longer than 3 to 5 days in a row or rebound congestion can occur

A client with allergic disorder is in treatment for his disorder. What might the treatment be?

Drug therapy for symptoms

A client presents at the clinic with an allergic disorder. The client asked the nurse what an allergic disorder means. What would the nurse best response be

It is a hyperimmune response to something in the environment that is usually harmless

A client comes to the clinic and states that he has broken out into hives and itching since eating strawberries this morning. The client states that he has never had problems with strawberries before. What is the best response by the nurse?

It is possible to develop an allergic reaction to something you have had prior exposure to previously

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

Monitor the client for reactions

A client comes to the clinic and informed the nurse that he feels as though he has allergies. What laboratory test will be positive indicator for an allergic disorder?

Radioallergosorbent blood test (RAST) of 3

A client is taking oral corticosteroids after having a exacerbation of asthma. What should the nurse be sure to include when instructing the client how to take the medication

Take the medication in the morning with food

A client scheduled to have a prick test to determine what specific allergens are creating problems for the client. what should the nurse informed the client is involved while the testing

The skin will be scratched, and applying a small amount of liquid test antigen to the scratch usually on the back

A client has an allergic reaction to seafood with generalized edema and informs the nurse that he is unable to get his wedding ring off and it's too tight. The client was unable to remove it with soap and water. What action by the nurse can facilitate removal of the ring without damaging it?

Use twine to wrap the finger and, when the tissues is compressed, pull the free end of the twine and remove the ring.

A client taking corticosteroid for the treatment of systematic lupus erythematous. When the nurse is providing instructions about the medication to the client, what priority information should be included?

Be alert for signs & symptoms and infections and report them immediately to the physician

A client informed the nurse that he is very allergic to poison ivy but loves to go camping and has several camping trips planned for the summer months. What suggestions can be made to protect against poison ivy?

Bentoquatam 5% (Ivy Block) apply 15 minutes prior to exposure and every four hours