Exam 14: Altered Immune Responses, and Transplantation

Which patient should the nurse assess first?

The health care provider asks the nurse whether a patient's angioedema has responded to prescribed therapies.Which assessment should the nurse perform?

A new mother expresses concern about her baby developing allergies and asks what the health care provider meant by "passive immunity." Which example should the nurse use to explain this type of immunity?

A nurse has obtained donor tissue typing information about a patient who is waiting for a kidney transplant.Which results should be reported to the transplant surgeon?

A patient who is receiving immunotherapy has just received an allergen injection.Which assessment finding is most important to communicate to the health care provider?

The nurse teaches a patient diagnosed with systemic lupus erythematosus (SLE)about plasmapheresis.What instructions about plasmapheresis should the nurse include in the teaching plan?

Which teaching should the nurse provide about intradermal skin testing to a patient with possible allergies?

The nurse is caring for a patient undergoing plasmapheresis.The nurse should assess the patient for which clinical manifestation?

A patient who has received allergen testing using the cutaneous scratch method has developed itching and swelling at the skin site.Which action should the nurse take first?

A patient who collects honey to earn supplemental income has developed a hypersensitivity to bee stings.Which statement,if made by the patient,would indicate a need for additional teaching?

Immediately after the nurse administers an intracutaneous injection of an allergen on the forearm,a patient complains of itching at the site and of weakness and dizziness.What action should the nurse take first?

A patient who is anxious and has difficulty breathing seeks treatment after being stung by a wasp.What is the nurse's priority action?

The nurse,who is reviewing a clinic patient's medical record,notes that the patient missed the previous appointment for weekly immunotherapy.Which action by the nurse is most appropriate?

The nurse provides discharge instructions to a patient who has an immune deficiency involving the T lymphocytes.Which screening should the nurse include in the teaching plan for this patient?

While obtaining a health history from a patient,the nurse learns that the patient has a history of allergic rhinitis and multiple food allergies.Which action by the nurse is most appropriate?

The nurse teaches a patient about drug therapy after a kidney transplant.Which statement by the patient would indicate a need for further instructions?

An adolescent patient seeks care in the emergency department after sharing needles for heroin injection with a friend who has hepatitis B.To provide immediate protection from infection,what medication will the nurse administer?

A patient who is receiving an IV antibiotic develops wheezes and dyspnea.In which order should the nurse implement these prescribed actions? (Put a comma and a space between each answer choice [A,B,C,D,E]). A) Discontinue the antibiotic infusion. B) Give diphenhydramine (Benadryl) IV. C) Inject epinephrine (Adrenalin) IM or IV. D) Prepare an infusion of dopamine (Intropin). E) Start 100% oxygen using a nonrebreather mask.

An older adult patient who is having an annual check-up tells the nurse,"I feel fine,and I don't want to pay for all these unnecessary cancer screening tests!" Which information should the nurse plan to teach this patient?

An older adult patient has a prescription for cyclosporine following a kidney transplant.Which information in the patient's health history has the most implications for planning patient teaching about the medication at this time?