Ch 37 Assessment and Management of Patient with Allergic Disorders

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

5 to 10 minutes

Which allergic reaction is potentially life threatening?

Angioedema

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

A client is diagnosed with atopic dermatitis and asks the nurse why the skin is so dry and itchy. What is the nurse's best response?

Changes in lipid content

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

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

Intradermal testing

Which test indicates the quantity of allergen necessary to evoke an allergic reaction?

Serum-specific IgE test

T-cell deficiency occurs when which gland fails to develop normally during embryogenesis?

Thymus

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

Use a topical skin moisturizer daily (helps to keep the skin hydrated)

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

The nurse is working in an allergy clinic with a client with TB. What other reaction is a type IV hypersensitivity disorder?

Contact dermatitis

A client with allergic rhinitis is prescribed a mast cell stabilizer. Which would the nurse expect to be used?

Cromolyn sodium

The nurse is working with a client with allergic rhinitis. What medication does the nurse anticipate will be prescribed to treat the allergic rhinitis?

Fexofenadine

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

For their immunosuppressant effects

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

Photoallergic

A nurse is assessing a client who is experiencing an allergic reaction. What will the nurse identify as resulting from the release of histamine?

Pruritus

The nurse is working with a colleague who has 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.

The nurse teaches the client with allergies about anaphylaxis, including which statement?

The most common cause of anaphylaxis is penicillin