Exam 19: Nursing Care of Patients With Immune Disorders

The nurse is caring for a patient with pernicious anemia. Which deficiency is this patient experiencing?

A patient is receiving a transfusion of packed RBCs. Ten minutes after the infusion begins, the patient reports low back pain and a headache. Which action should the nurse take first?

The nurse is caring for a group of patients. Which patient should the nurse see first?

A patient is receiving a transfusion of packed RBCs. Ten minutes after the infusion begins, the patient reports low back pain and a headache. Place the actions in order, from 1 to 5, of importance of performance. A) ___ Stop the blood infusion. B) ___ Notify the physician STAT. C) ___ Obtain vital signs and assess patient. D) ___ Start the new 0.9% normal saline infusion. E) ___ Prepare a new 0.9% normal saline infusion.

The nurse contributed to the teaching plan for a patient with a history of allergies to pollen. Which patient action indicates an understanding of how to control this disease?

The nurse is preparing to administer levofloxacin (Levaquin) to a patient with pneumonia. Which is most important for the nurse to ask prior to administering the medication?

The nurse is teaching a patient about atopic dermatitis (Eczema). Which statement made by the patient indicates an understanding of the teaching?

A patient is stabilized after having an allergic reaction. Which preventive instructions should the nurse reinforce with the patient?

The nurse is teaching a patient about allergic rhinitis. Which statement indicates a need for further teaching?

The nurse is caring for a patient with angioedema. Which nursing action should have the highest priority?

The nurse is caring for a patient with SLE. The nurse notes that the patient has foamy, "coke"-colored urine. Which action should the nurse take?

The nurse is caring for a patient who develops a hemolytic reaction during a blood transfusion. The nurse should expect to implement which order from the HCP first?

The nurse is contributing to a group of patients care plans. Which patient should the nurse identify as being at risk for developing serum sickness?

The nurse is assisting in the care of a patient with ankylosing spondylitis. What should the nurse expect to find in the patient's collaborative plan of care? (Select all that apply.)

A patient with type O blood is scheduled to undergo open heart surgery. Which blood type would this patient receive?

The nurse applies clean, white, cotton socks over the hands of a patient with contact dermatitis. What should the nurse explain to the patient about the purposes of this intervention? (Select all that apply.)

The nurse is caring for a patient with idiopathic autoimmune hemolytic anemia. Which action should the nurse include in the plan of care for this patient?

The nurse is administering methylprednisolone (Solu-Medrol) 40 mg IM to a patient with SLE. The available dose is 80 mg/mL. How many mL will the nurse administer? Enter the numeral only.

The nurse is contributing to the teaching plan for a patient who is allergic to dust. Which environmental modification should the nurse recommend be included in the teaching plan to help control symptoms?

The nurse is caring for a group of patients. Which patient should the nurse see first?