Management Of Clients With Immune Disorders

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Question 1
Free
Multiple Choice

The nurse assesses an atopic client who has had serious type 1 hypersensitivity reactions. The nurse recognizes that the most severe form of a type 1 hypersensitivity reaction is

Choose correct answer/s
A

anaphylaxis.

B

bronchial asthma.

C

cell-mediated sensitivity.

D

dermatitis.

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Question 2
Free
Multiple Choice

The nurse caring for a client with allergic rhinitis who is using a decongestant nasal spray would determine that teaching goals have been met when the client says

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A

"Nasal sprays must be combined with an oral antihistamine to achieve relief."

B

"Overuse can result in nosebleeds and mucosal ulceration."

C

"Rebound rhinitis (rhinitis medicamentosa) is common with continual use."

D

"The spray should be used round-the-clock at equally spaced intervals."

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Question 3
Free
Multiple Choice

The home health care nurse who is teaching the client about home environment modifications to self-manage allergies would focus on eliminating allergens that are

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A

eaten.

B

inhaled.

C

injected.

D

transmitted by direct contact.

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Question 4
Free
Multiple Choice

A client develops a positive reaction to an injection of purified protein derivative, a screening measure for exposure to tuberculosis. The nurse records this reaction as a

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A

type 1 reaction.

B

type 2 reaction.

C

type 3 reaction.

D

type 4 reaction.

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Question 5
Free
Multiple Choice

A nurse would observe the client for how long to determine whether there is an immediate reaction to a skin test?

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A

1 to 2 minutes

B

2 to 5 minutes

C

5 to 10 minutes

D

10 to 20 minutes

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Question 6
Multiple Choice

The nurse concerned about safety encourages a client to stop which medication?

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A
Cetirizine (Zyrtec)
B
Diphenhydramine (Benadryl)
C
Fexofenadine (Allegra)
D
Loratadine (Claritin)
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Question 7
Multiple Choice

The nurse caring for a client with rhinitis would anticipate an order for a/an

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A
antihistamine.
B
anticholinergic.
C
corticosteroid.
D
decongestant.
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Question 8
Multiple Choice

The nurse instructs the client who has a new prescription for cromolyn sodium (NasalCrom) that the most effective administration schedule is

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A
at the start of allergy season, with once-a-day dosing.
B
just after manifestations begin, with twice daily dosing.
C
1 week before allergy season begins, with four to six doses per day.
D
when manifestations peak only, with two or three doses per day.
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Question 9
Multiple Choice

A client with a history of type 1 hypersensitivity reaction is receiving immunotherapy (or desensitization therapy). The nurse administering the allergen injection at 1:00 PM would ask the client to remain in the office until

Choose correct answer/s
A
1:10 PM.
B
1:20 PM.
C
1:40 PM.
D
2:15 PM.
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Question 10
Multiple Choice

A client will undergo testing for possible food allergy to chocolate. The nurse teaches the client to eliminate chocolate from the diet before the testing for

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A
1 to 2 days.
B
3 to 5 days.
C
5 to 10 days.
D
10 to 14 days.
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Question 11
Multiple Choice

In teaching self-care measures, the nurse would teach the client who has atopic dermatitis to avoid

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A
applying a lubricant after bathing.
B
bathing in hot water.
C
keeping fingernails trimmed.
D
using gentle soaps.
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Question 12
Multiple Choice

The nurse instructs a client diagnosed with urticaria on common self care measures, which include

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A
antihistamines.
B
corticosteroids.
C
nonsteroidal anti-inflammatory drugs (NSAIDs).
D
warm oatmeal baths.
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Question 13
Multiple Choice

A client has anaphylaxis. Which action by the nurse takes highest priority?

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A
Administering oxygen
B
Giving epinephrine
C
Maintaining an open airway
D
Starting an IV
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Question 14
Multiple Choice

The nurse explains that in step 1 (sensitization) of becoming allergic, the body,

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A
develops immunoglobulin E (IgE) antibodies.
B
forms mast cells.
C
produces basophils.
D
reacts with rhinitis, urticaria, asthma, or gastrointestinal (GI) manifestations.
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Question 15
Multiple Choice

The nurse reminds a client that a delayed inflammatory response can occur 2 to 8 hours after exposure to an allergen and is governed by

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A
basophils.
B
eosinophils.
C
mast cells.
D
T cells.
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Question 16
Multiple Choice

The nurse explains that a type 2 hypersensitivity reaction results in

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A
antibody formation.
B
cell destruction.
C
mast cell production.
D
T-cell stimulation.
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Question 17
Multiple Choice

A client with urticaria is frustrated with the chronic nature of the problem. To enhance coping, which intervention by the nurse would be most effective?

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A
Assist the client in identifying and eliminating triggers for outbreaks.
B
Demonstrate to the client measures to increase comfort.
C
Let the client vent frustrations and remain supportive.
D
Teach the client the proper way to take antihistamines.
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