Exam 19: Nursing Care of Patients With Immune Disorders

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

A patient with lupus erythematosis is prescribed a corticosteroid.What side effects of this medication should the nurse review with the patient? (Select all that apply.)

The mother of an infant diagnosed with hypogammaglobulinemia asks the nurse how the disease process occurred.What should the nurse explain to the mother?

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 (1-5)of importance of performance.

A patient is suspected as having a blood transfusion reaction.Which laboratory test should the nurse expect to be done to confirm this diagnosis?

A patient is to receive a transfusion of packed RBCs.Before administering the transfusion,which action should the nurse take?

A patient is diagnosed with hypogammaglobulinemia.Which of immune cell should the nurse realize is defective in this disorder?

The nurse notes that a patient has an elevated lactate dehydrogenase,fragmented RBCs seen on microscopic examination,and low RBC count,hematocrit (Hct),and hemoglobin (Hgb)levels.For which health problem should the nurse consider planning care for this patient?

The nurse is caring for a patient with a severe allergic reaction.Which medication should the nurse anticipate being administered to control the itching?

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 reinforcing teaching on chloroquine side effects for a patient with systemic lupus erythematosus.Which adverse effect should the nurse encourage the patient to report when taking this medication?

The nurse is assisting in an educational seminar on common allergens.What should the nurse include as the most common irritant causing contact dermatitis? (Select all that apply.)

A patient comes into the emergency department with a fear of developing poison ivy after falling while walking through a wooded area earlier in the day.What should the nurse instruct the patient to do if exposure to poison ivy occurs again?

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 reinforcing teaching provided to a patient with Hashimoto's thyroiditis.What should the nurse explain as occurring initially in this health problem?

The nurse is reviewing data collected on several patients.Which patient should the nurse identify as being most likely to exhibit signs and symptoms of systemic lupus erythematosus?

The nurse is assisting in the planning of care for a patient with chronic serum sickness.Which action should be a priority for this patient?

A patient is experiencing an episode of urticaria.Which intervention should the nurse recommend to include in the teaching plan to assist the patient in controlling the symptoms of urticaria?

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 caring for a patient at risk for infection.Which immunoglobulin should the nurse consider as being the cause of this patient's infection risk?