Exam 19: Nursing Care of Patients With Immune Disorders

The nurse is experiencing severe skin blisters after wearing latex gloves at work.Which treatment should the nurse expect to be prescribed by the health care provider for these skin lesions? (Select all that apply.)

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

A patient is being started on a blood transfusion.For how many minutes should the nurse stay with the patient during this transfusion?

The nurse is collecting data from a patient with skin eruptions.What should the nurse recall to differentiate urticaria from angioedema?

The nurse is contributing to the plan of care for a patient with systemic lupus erythematosus (SLE).Which interventions should the nurse recommend for this patient? (Select all that apply.)

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?

A patient with an autoimmune disorder asks,"What might cause my body to do this to itself?" What should the nurse state as reasons for the body to have lost the ability to recognize self? (Select all that apply.)

The nurse is caring for a patient who is stung by a wasp.Which manifestation should the nurse expect if an allergic reaction develops?

The nurse is caring for a patient with a severe allergic reaction.Which medication and route should the nurse anticipate being ordered for this patient?

The nurse is caring for a patient with severe ankylosing spondylitis.What nursing action would be most appropriate?

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

The nurse is reinforcing teaching provided to a patient with pernicious anemia.Which patient statement indicates that teaching has been effective?

The nurse is caring for a patient who had a kidney transplant 5 days ago.The patient had been very outgoing and jovial,but this morning the patient is very quiet and refusing breakfast,and ambulation.What would be the most appropriate nursing action at this time?

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.)

The nurse is contributing to a staff education program about nursing care for hypersensitivity reactions.Which should the nurse include as examples of type I hypersensitivity reactions? (Select all that apply.)

The nurse has been caring for a patient with pernicious anemia.Which finding should indicate to the nurse that treatment has been successful?

The nurse is participating in a teaching plan to address Risk for Impaired Skin Integrity for a patient with contact dermatitis.Which information should the nurse recommend be included in this plan? (Select all that apply.)

A patient with systemic lupus erythematosis is prescribed Prednisone,60 mg PO,in three equal doses.If using 5 mg tablets,how many tables should the nurse provide for each dose?

The nurse recommends the diagnosis Disturbed Body Image for a patient with systemic lupus erythematosus.What would be an appropriate long-term outcome for this patient?