Chapter 34

A client has developed an allergic response to an unknown allergen and is seeking information. How can an allergic response manifest? A. localized reaction B. life-threatening reaction C. temporary reaction D. all options are correct

D

A client has had several recent clinical visits for allergic contact dermatitis. The nurse explains to the client that allergy testing is indicated. Which test will most likely be performed? A. patch test B. scratch test C. all options are correct D. intradermal injection test

A

A client presents with itching, swelling, redness, and wheals of superficial skin layers. What is the most likely type of allergy this client is displaying? A. urticaria B. angioedema C. contact dermatitis D. dermatitis medicamentosa

A

A pediatric client is recovering from an anaphylactic reaction to an allergen which brought him to the ED. The client's mother is quite concerned with the potential reoccurrence of her child's reaction. In attempting to narrow down the possible allergen, it is important to consider that clinical manifestations generally correlate with: A. route of exposure B. respiratory symptoms C. systemic effects D. skin reactions

A

A client presents with symptoms consistent with allergic contact dermatitis. What are known contactants that may have caused the client's allergic response? Select all that apply. A. occupational chemicals B. hair dyes C. latex D. all options are correct E. household dust

A, B, C

A nurse has several clients with chronic fatigue syndrome (CFS). The nurse explains to her clients that CFS is a complex of symptoms primarily characterized by profound fatigue with no identifiable cause. In addition to the fatigue associated with CFS, which symptoms are associated with CFS? Select all that apply. A. headaches B. hypertension C. myalgia D. significant impairment of short-term memory E. joint pain and swelling

A, C, D

Which are the appropriate interventions to help a client with autoimmune disorder deal with joint pain secondary to inflammation, malaise, and fatigue? Select all that apply. A. use nonpharmacological pain management strategies B. rest between periods of severe exacerbation and remission C. rest during periods of severe exacerbation D. exercise regularly during periods of remission

A, C, D

A client is prescribed antihistamines, and asks the nurse about administration and adverse effects. The nurse should advise the client to avoid: A. exposure to sunlight B. alcohol C. applying skin moisturizers D. seafood

B

A client is presenting an anaphylactic response to unknowingly ingesting nuts at a family celebration. What type of hypersensitivity did this client exhibit? A. type III B. type I C. type II D. type IV

B

A client is undergoing sensitivity testing to define the allergen which is causing the client difficulty. Before the procedure begins, the nurse indicates the various routes in which an allergen can be introduced. What is an allergen introduction route? A. inhalation B. all options are correct C. injection D. ingestion

B

A nurse is providing education to a client scheduled for diagnostic skin testing. Which medication will the nurse advise the client to cease administration of for 5 days before testing? A. acetaminophen B. cetririzine C. over the counter cough and cold medications D. NSAIDs

B

Client is presenting an anaphylactic response to unknowingly ingesting nuts at a family celebration. What action is of primary importance upon admission? A. encourage fluids to dilute allergen B. maintain airway C. induce vomiting to rid body of allergen D. none of the options is correct

B

A client is suspected of having a food allergy. The client's rheumatologist recommends an elimination diet to assist in identifying food allergens. What would not be included in the nurse's description of the process involved? A. eliminate suspected foods for a period of 2 weeks B. after introducing each new food, observe for the return of symptoms associated with food allergy C. if symptoms return after reintroducing foods, this confirms the food is an allergen that should be avoided D. after the elimination period, reintroduce foods one at a time

C

In its attempt to suppress allergic responses, the body releases several chemicals which have a role in mediating physical reactions. Epinephrine, which interferes with vasoactive chemical release from mast cells, is instrumental in suppressing which type of hypersensitivity response? A. type III B. type II C. type I D. type IV

C

A client has begun sensitivity testing to determine the allergen which caused an anaphylactic reaction 3 weeks ago. In scratch testing, which part of the body is more sensitive to allergens? A. back B. forearm C. upper arm D. chest

A

A nurse educator is giving a lecture on autoimmunity. Included in the lecture are current theories that explain the development of autoimmune disorders. Which theories would the educator include? Select all that apply. A. cross-antigen theory B. tissue mutation theory C. diminished T-suppressor theory D. viral mutation theory

A, C, D

A client is distressed and frustrated reporting severe, ongoing fatigue that doesn't subside with rest. The nurse explains that chronic fatigue syndrome results from: A. impaired activation of three neuroendocrine structures: the hypothalamus, pituitary gland, and adrenal glands B. immune system dysregulation C. all options are correct D. a combination of immune defects and viral assaults

C

A pediatric client is recovering from an anaphylactic reaction to an allergen. In the first assessment, the client presents with a periorbital accumulation of blood, a common occurrence in children. What types of allergic reactions presents "allergic shiners"? A. type III B. type I C. type IV D. type II

B

A client has been seeing an allergist for 6 months for treatment of allergies. The client's allergies have been insufficiently controlled by symptomatic treatments and the physician has suggested desensitization. The anticipated outcome of desensitization is that repeated exposure to the: A. strong antigen promotes the production of IgE, an antibody that blocks IgG so it cannot stimulate mast cells B. weak antigen promotes the production of IgE, an antibody that blocks IgG so it cannot stimulate basophils C. strong antigen promotes the production of IgG, an antibody that blocks IgE so it cannot stimulate basophils D. weak antigen promotes the production of IgG, an antibody that blocks IgE so it cannot stimulate mast cells

D

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 response? A. reaction occurs within 6 hours B. antibody production C. reaction occurs within minutes D. no antibody production

D

For a client with chronic fatigue syndrome (CFS), what should the nurse emphasize during client teaching? A. alter diet to exclude red meat and alcohol B. experiment with herbal products C. avoid psychotherapy D. ensure a balance of activity and rest

D

Which allergic reaction is potentially life threatening? A. urticaria B. none of the listed allergic reactions is potentially life threatening C. contact dermatitis D. angioedema

D

A client is having an allergic response to an unknown allergen. Which body structures are primarily involved in allergic reactions? Select all that apply. A. gastrointestinal tract B. eyes C. skin D. liver

A, C