chapter 30 immune disorders

Parents demonstrate understanding of treatment of infantile eczema when they say the following:

"I know I have to follow all the directions while using the hydrocortisone cream."

While providing care to a 5-month-old girl whose family has a history of food allergies, the nurse instructs the parents about foods to be avoided in the first year of life. Which response by the parents indicates a need for further teaching?

"Any kind of fruit is acceptable."

To avoid anaphylactic reactions in children, which question would be most important to ask a parent before administering penicillin to her infant?

"Has she ever had penicillin before?"

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?

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

The nurse is administering nevirapine to an adolescent client diagnosed with HIV. The client asks the nurse how this medication helps fight HIV. How should the nurse respond?

"The medication disrupts the virus life cycle of HIV. This prevents the disease from progressing."

The nurse is interviewing parents of a child who has been diagnosed with severe combined immune deficiency (SCID). Which statement by the parents best indicates an understanding of their child's condition?

"We will need to prepare our child and ourselves for a bone marrow transplant."

The nurse in the emergency department is examining an 18-month-old child who recently received a first dose of penicillin. The nurse notes lip edema, urticaria, stridor, and tachycardia. Which action will the nurse take next?

Administer epinephrine

The nurse is caring for a child with clear nasal drainage, pale nasal mucous membranes, and a horizontal crease on the nose. What does the nurse suspect?

Allergic rhinitis

The nurse is assisting with skin testing for allergies in a pediatric client. What will the nurse do to ensure the results are accurate?

Be certain the child has not received an antihistamine in the past 8 hours

A child with primary immune deficiency is about to receive an infusion of IVIG. What is the most appropriate premedication to minimize the reaction?

Diphenhydramine

When providing discharge instructions to a child who was admitted to the hospital following stridor, wheezing, and urticaria after taking penicillin, which nursing action is priority?

Encourage the child to wear a medical alert bracelet for penicillin.

An older school-aged child is allergic to wasp stings. The nurse is teaching the child and her parents about ways to minimize her risk. Which of the following would the nurse include in the teaching plan? Select all that apply.

Having a readily available fast-acting insecticide when outdoors Wearing appropriate footwear when going outside Not drinking from open soda cans when outside

The nurse is caring for a school-age child recently diagnosed with an allergy to peanuts. Which nursing action is a priority?

Include the child when discussing foods that contain peanuts.

The nurse is caring for a preschool-age child who has been seen in the emergency department for an allergic reaction to stinging insects twice in the last month. What should the nurse instruct the parents to help reduce the child's exposure to insects?

Keep the child away from the trash.

The registered nurse (RN) and an unlicensed assistive personnel (UAP) are providing care to a client receiving IV immune globulin (IVIG) for the treatment of Kawasaki disease. Which task will the RN delegate to the UAP?

Take the client's meal tray into the room.

The nurse is caring for a newborn whose mother is HIV positive. The nurse would expect to administer a 6-week course of which medication?

Zidovudine

The nurse is reviewing a pediatric client's laboratory results. An elevation in which type of cells indicates that white blood cells are actively involved with phagocytosis? Select all that apply.

neutrophils and monocytes

A 5-year-old has allergic rhinitis. It would be most appropriate to collect information regarding the child's exposure to which substances?

pollens

The nurse is administering the drug cyclophosphamide to a child who has severe systemic lupus erythematosus (SLE). What body system is the nurse most concerned about regarding adverse effects of this drug immediately after administration?

renal

Which of the following is inconsistent with the mode of transmission of HIV?

skin contact