Exam 14: Genetics, Altered Immune Responses, and Transplantation

A patient has a new prescription for cyclosporine after having 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?

After teaching a patient on immunosuppressant therapy after a kidney transplant about the posttransplant drug regimen, the nurse determines that additional teaching is needed when the patient says,

The nurse discusses the prevention and management of allergic reactions with a beekeeper who has developed a hypersensitivity to bee stings. The nurse identifies a need for additional teaching when the patient states,

To prevent anaphylaxis after a patient has received allergen testing using the cutaneous scratch method, the nurse should initially monitor the patient's

After being bitten by an unknown insect, a patient allergic to wasp stings is brought to a clinic by a co-worker. Upon arrival the patient is anxious and having difficulty breathing. The first action by the nurse is to

A young woman's mother has been diagnosed with BRCA gene-associated breast cancer. The patient asks the nurse, "Do you think I should be tested for the gene?" Which response by the nurse is most appropriate?

When the nurse is admitting a patient who has acute rejection of an organ transplant, which of these already-admitted patients will be the most appropriate roommate?

The nurse obtains all this information about a patient who has been receiving immunotherapy for several months and is waiting in the clinic after receiving the allergen injection. Which information should the nurse communicate to the health care provider?

A patient is being evaluated for possible atopic dermatitis. The nurse will review the patient's laboratory values for the level of

A patient is admitted to the hospital with acute rejection of a kidney transplant. The nurse will anticipate

An older patient at the clinic for an annual examination tells the nurse, "I don't understand why I need to have so many cancer screening tests now. I feel just fine!" The nurse will plan to teach the patient about the

A patient seen at the clinic with atopic dermatitis has a history of multiple allergies and several previous anaphylactic reactions. Which type of testing for allergens will the nurse anticipate for this patient?

The nurse will monitor a patient who is undergoing plasmapheresis for

A patient diagnosed with systemic lupus erythematosus (SLE) is scheduled for plasmapheresis. The nurse plans to teach the patient that plasmapheresis will

A patient who is employed as a laboratory technician is scheduled for surgery. While obtaining a health history from the patient, the nurse learns that the patient has a history of allergic rhinitis, asthma, and multiple food allergies. It is important that the nurse

While the nurse is obtaining an assessment and health history from a patient, which statement by the patient will alert the nurse to a possible immunodeficiency disorder?

A patient seen in the outpatient clinic has an immune deficiency involving the T-lymphocytes. The nurse should teach the patient about the need for more frequent screening for

A patient who received a bone marrow transplant for treatment of leukemia develops a skin rash 10 days after the transplant. The nurse recognizes this reaction as an indication that the

The nurse encourages a new mother to breastfeed her infant, even for a short time, because colostrum will provide the infant with

A patient seeks medical care after sharing needles for heroin injection with a friend who has hepatitis B. To provide immediate protection from infection, the nurse expects to administer