Question 1

The nurse will monitor a patient who is undergoing plasmapheresis for

Accepted Answer

A)  shortness of breath. 
B)  high blood pressure. 
C)  transfusion reactions. 
D)  numbness and tingling.

Question 2

After being stung by a wasp, a patient is brought to the clinic by a co-worker. Upon arrival the patient is anxious and having difficulty breathing. The first action that the nurse should take is to

Accepted Answer

A)  have the patient lie down. 
B)  assess the patient's airway. 
C)  administer high-flow oxygen. 
D)  remove the stinger from the site.

Question 3

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

Accepted Answer

A)  IgE. 
B)  IgA. 
C)  basophils. 
D)  neutrophils.

Question 4

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?

Accepted Answer

A)  "I take one baby aspirin every day to prevent stroke." 
B)  "I usually eat eggs or meat for at least 2 meals a day." 
C)  "I had my spleen removed many years ago after a car accident." 
D)  "I had a chest x-ray 6 months ago when I had walking pneumonia."

Question 5

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

Accepted Answer

A)  administration of immunosuppressant medications. 
B)  insertion of an arteriovenous graft for hemodialysis. 
C)  placement of the patient on the transplant waiting list. 
D)  drawing blood for human leukocyte antigen ( HLA ) and ABO compatibility matching.

Question 6

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?

Accepted Answer

A)  A patient who has viral pneumonia 
B)  A patient with second degree burns 
C)  A patient who is recovering from an anaphylactic reaction to a bee sting 
D)  A patient with graft-versus-host disease after a recent bone marrow transplant

Question 7

A 62-year-old patient who is having an annual check-up 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

Accepted Answer

A)  consequences of aging on cell-mediated immunity. 
B)  decrease in antibody production associated with aging. 
C)  impact of poor nutrition on immune function in older people. 
D)  incidence of cancer-stimulating infections in older individuals.

Question 8

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,

Accepted Answer

A)  "I will plan to take oral antihistamines daily before going to work." 
B)  "I will get a prescription for epinephrine and learn to self-inject it." 
C)  "I should wear a Medic Alert bracelet indicating my allergy to bee stings." 
D)  "I am going to need job retraining so that I can work in a different occupation."

Question 9

Which instruction will be included when teaching a patient with possible allergies about intradermal skin testing?

Accepted Answer

A)  "Do not eat anything for about 6 hours before the testing." 
B)  "Take an oral antihistamine about an hour before the testing." 
C)  "Plan to wait in the clinic for 20 to 30 minutes after the testing." 
D)  "Reaction to the testing will take about 48 to 72 hours to occur."

Question 10

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 space between each solve choice (a, b, c, d, etc.) ____________________
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.

Accepted Answer

The answer of A patient who is receiving an IV...

Exam 14: Genetics, Altered Immune Responses, and Transplantation