ALLERGIC AND IMMUNE CH 84

Nonsedating Drugs

The nurse is administering fexofenadine to a client with severe respiratory allergies.Which type of drug is this antihistamine?

over production of gamma globulin

The nurse is assessing a client diagnosed with leukemia. Which immune disorder is most likely involved in this condition?

infection

The nurse is assisting in developing a plan of care for the client with immunodeficiency. The nurse should determine that which problem is a priority for the client?

millimiters

The unit of measurement commonly used to measure the degree of edema is ____________.

wearing a gown and gloves

the nurse prepares to give a bath and change the bed linens for a client with cutaneous Kaposis sarcoma lesions.The lesions are open and draining a scant amount of serious fluid.Which should the nurse incorporate in the plan during the bathing of this client?

-place the client in a private room -Use medications from glass ampules -Don't puncture rubber stoppers with needles -Keep a latex safe supply car available in the client's area. -Use nonlatex gloves

1.Which interventions should be implemented in the care of a client at high risk for an allergic response to a latex allergy?(Select all that apply

Individuals with spina bifida

10. The nurse is assisting with identifying clients in the community at risk for latex allergy.Which client population is most at risk for developing this type of allergy?

Red wheal

15. The nurse assisting with a skin test for a client suspected of having allergies to animal dander. Which is a sign of positive reaction?

When an antigen enters the body, the body responds by producing antibodies

16. Which statement accurately describes a function of the immune system?

epinephrine

Emergency airway management and ___________ need to be available in case of severe or anaphylactic reactions.

false

If desensitization is done to treat a seasonal allergy, it must start at least 3 weeks before the specific allergy season.=

true

Immunotherapy consists of giving minute doses of allergens subcutaneously

Decrease of all cell types

A complete blood cell count is performed on the client with a diagnosis of systemic lupus erythematosus (SLE). The nurse should suspect that which finding will most likely be reported from this blood test?

Alopecia

A nurse is collecting data from a client who has SLE. Which of the following findings should the nurse expect?

Pruritus= S Dyspnea= R Wheezing= R Hypotension= C Confusion= N Nausea and vomiting= G Syncope (fainting)= C Altered Perstalsis= G Cyanosis= S Temperature elevation=N

Indicate whether the following physical signs and symptoms are: S = skin observations R = Respiratory Observations G = Gastrointestinal Tract Observations C = Cardiovascular Observations N = Nervous System Observations

False

Latex allergies are noted in individuals who have hypersensitivities to bananas, apples, shrimp and peanut butter.

Parastic infectiond= Urticaria Pollen grains= Allergic Rhinitis Exercise= Bronchial Asthma Poison ivy= Contact Dermatitis

Match the allergic reaction with the corresponding stimulating factor.

False

Periods of decreased pulse rate and respirations are seen in clients with bronchial asthma.=

Punch biopsy of the cutaneous lesions

The client with acquired immunodeficiencye syndrome (AIDS) is diagnosed with cutaneous Kaposi's sarcoma. Based on this diagnosis, the nurse should determine that this has been confirmed by which finding?

"I will include plenty of fresh fruits in my diet."

The nurse determines that the client diagnosed with neutropenia needs further teaching if which statement is made by the client?

Skin response

The nurse explains to the client experiencing urticaria that this condition is caused by an allergic reaction.Which type of allergic reaction is this client experiencing?

H1-receptor antagonists

The nurse is administering an antihistamine to a client experiencing a severe allergic reaction to pollen. What class of drugs is being used?

administer an antihistamine

The nurse is caring for a client experiencing anaphylactic shock related to antibiotic administration. Which nursing intervention for anaphylactic shock should be performed immediately?

Poison Ivy

The nurse is caring for a client in the ER who presents with a severe rash caused by direct contact with an allergen.

"You will probably require immunosuppressive drugs for the rest of your life."

The nurse is providing discharge teaching for a client who had a kidney transplant. Which teaching point is appropriate for this client?

Anaphylaxis

The nurse is treating a client who presents in the ER with airway obstruction owing to laryngeal edema and vasodilation resulting in hypotension of the organs Which condition is this client most likely experiencing

Corticosteroid

Which medication treatment are recommended for systemic lupus erythematosus and other autoimmune disorders?

Certrizine (Zyrtec)

Which of the following is a nonsedating drugs?

Wheezing Stridor Dyspnea urticaria Hives

Which signs/symptoms should indicate to the nurse that the client is experiencing an anaphylactic reaction? Select all

Multiple autoimmune disorders are known to occur in the same client

Which statement regarding the etiology or incidence of autoimmune diseases is accurate?

Call the RN, who will contact the PHCP or rapid response team= 2 Assist the RN with preparing to start an IV line and infuse normal saline= 4 Document the event, actions taken, and the client's response= 6 quickly check the respiratory status and maintain a patent airway= 1 Administer oxygen= 3 Prepare the administration of diphenhydramine and epinephrine=5

Write the correct sequence of actions when a client experiences an anaphylactic reaction.

Protecting the client from infection

he client is diagnosed with an immune deficiency. The nurse focuses on which nursing responsibility as the highest priority when providing care to this client?

bananas

he nurse is performing a physical assessment for a client who states that she is allergic to latex. Which food will the nurse question the client about?