Exam 20: Care of Patients with Immune Function Excess: Hypersensitivity (Allergy)and Autoimmunity

A client having severe allergy symptoms has received several doses of IV antihistamines.What action by the nurse is most important?

A client with Sjögren's syndrome reports dry skin,eyes,mouth,and vagina.What nonpharmacologic comfort measure does the nurse suggest?

A client calls the clinic to report exposure to poison ivy and an itchy rash that is not helped with over-the-counter antihistamines.What response by the nurse is most appropriate?

A nurse works in an allergy clinic.What task performed by the nurse takes priority?

The nursing student is studying hypersensitivity reactions.Which reactions are correctly matched with their hypersensitivity types? (Select all that apply.)

A nurse suspects a client has serum sickness.What laboratory result would the nurse correlate with this condition?

A client in the family practice clinic reports a 2-week history of an "allergy to something." The nurse obtains the following assessment and laboratory data: About what medications and interventions does the nurse plan to teach this client? (Select all that apply.)

A client is in the hospital and receiving IV antibiotics.When the nurse answers the client's call light,the client presents an appearance as shown below: What action by the nurse takes priority?

A client is receiving plasmapheresis as treatment for Goodpasture's syndrome.When planning care,the nurse places highest priority on interventions for which client problem?

A client is in the preoperative holding area prior to surgery.The nurse notes that the client has allergies to avocados and strawberries.What action by the nurse is best?

The nurse is caring for clients on the medical-surgical unit.What action by the nurse will help prevent a client from having a type II hypersensitivity reaction?

A nurse has educated a client on an epinephrine auto-injector (EpiPen).What statement by the client indicates additional instruction is needed?

A client suffered an episode of anaphylaxis and has been stabilized in the intensive care unit.When assessing the client's lungs,the nurse hears the following sounds.What medication does the nurse prepare to administer? (Click the media button to hear the audio clip.)