Question 1

Immediately after the nurse administers an intradermal injection of a suspected antigen during allergy testing, the patient complains of itching at the site, weakness, and dizziness. Which action by the nurse is most appropriate initially?

Accepted Answer

A)   Elevate the arm above the shoulder
B)   Administer subcutaneous epinephrine
C)   Apply a warm compress to area
D)   Apply a local anti-inflammatory cream to the site B

Question 2

Health care facilities have reduced the incidence of serious latex reactions by:

Accepted Answer

A)   Having local and injectable corticosteroids on hand for employees
B)   Desensitizing staff who are allergic
C)   Supplying extra handwashing stations in the halls
D)   Using only powder-free gloves D

Question 3

Which symptom would be classified as a mild transfusion reaction?

Accepted Answer

A)   Orthopnea
B)   Tachycardia
C)   Hypotension
D)   Wheezing A

Question 4

The process of immunity through a controlled exposure to an attenuated organism to stimulate the production of antibodies is _______________.

Accepted Answer

The answer of The process of immunity through a controlled...

Question 5

A patient is undergoing immunotherapy on a perennial basis. With this form of treatment, what should the patient receive?

Accepted Answer

A)   Larger doses each week
B)   Higher concentrations each week
C)   Increased amounts and concentrations in 6-week cycles
D)   The same amount and concentration each visit

Question 6

Which of the following provide the body with innate immunity? (Select all that apply.)

Accepted Answer

A)   Skin and mucous membranes
B)   Lungs
C)   Heart
D)   Tears and saliva
E)   Natural intestinal and vaginal floraF)  Stomach acid

Question 7

What timeframe must blood be transfused within once it has been removed from refrigeration?

Accepted Answer

A)   2 hours
B)   4 hours
C)   6 hours
D)   3 hours

Question 8

What should the nurse include to assess for in the plan of care for a patient undergoing plasmapheresis?

Accepted Answer

A)   Hypotension
B)   Hypersensitivity
C)   Urticaria
D)   Flank pain

Question 9

Which person is most at risk for a hypersensitivity reaction?

Accepted Answer

A)   26-year-old receiving his second desensitization injection
B)   35-year-old starting back on birth control tablets
C)   The 52-year-old started on a new series of Pyridium for cystitis
D)   The 84-year-old receiving penicillin for an annually recurring respiratory infection

Question 10

The LPN/LVN has arrived at the patient's bedside with a unit of packed cells to be connected to an IV that is infusing. When the RN arrives, what is the first thing the nurses must do?

Accepted Answer

A)   Check to ensure that the donor and recipient numbers match according to policy
B)   Request the patient to sign the card on the packed cells
C)   Immediately administer the packed cells
D)   Check the patient's ID bracelet and then administer the packed cells

Question 11

A type IV latex allergy is characterized by________ _______.

Accepted Answer

The answer of A type IV latex allergy is characterized...

Question 12

The patient who had an asthma-like reaction to a desensitization shot was medicated with a subcutaneous injection of epinephrine. What effect should the nurse assure the anxious patient this will have?

Accepted Answer

A)   Cause vasodilation
B)   Produce bronchodilation
C)   Cause productive coughing
D)   Reduction of pulse rate

Question 13

How does normal aging change the immune system?

Accepted Answer

A)   Depresses bone marrow
B)   T cells become hyperactive
C)   B cells show deficiencies in activity
D)   Increase in the size of the thymus

Question 14

An anxious patient enters the emergency room with angioedema of the lips and tongue, dyspnea, urticaria, and wheezing after having eaten a peanut butter sandwich. What should be the nurse's first intervention?

Accepted Answer

A)   Apply cool compresses to urticaria
B)   Provide oxygen per non-rebreathing mask
C)   Cover patient with a warm blanket
D)   Prepare for venipuncture for the delivery of IV medication

Question 15

What should the nurse do because of the increasing strength of the dose in the injections for immunotherapy?

Accepted Answer

A)   Observe the patient for at least 20 minutes after administration
B)   Take the vital signs every 10 minutes for an hour
C)   Have the patient lie down quietly for an hour
D)   Place a warm compress on the area to speed its absorption

Question 16

If a nurse is sensitive to latex gloves, what potential food sensitivities might the nurse develop? (Select all that apply.)

Accepted Answer

A)   Peanuts
B)   Avocados
C)   Milk
D)   Bananas
E)   TomatoesF)  Potatoes

Question 17

The nurse arrives at the bedside of a patient who has had a unit of packed cells infusing in his right arm for 35 minutes. He is complaining of chills, itching, and shortness of breath. What should be the nurse's initial action?

Accepted Answer

A)   Cover with a warm blanket
B)   Take the patient's temperature
C)   Elevate the head of the bed
D)   Stop the transfusion and continue with saline

Question 18

A transfusion using blood from one's own blood is a(n) ___________ transfusion, which is the best defense against a transfusion reaction.

Accepted Answer

The answer of A transfusion using blood from one's own...

Question 19

The nurse recommends to the busy mother of three that the antihistamine fexofenadine (Allegra) would be more beneficial than diphenhydramine (Benadryl) because Allegra:

Accepted Answer

A)   is inexpensive.
B)   contains a stimulant for an energy boost.
C)   does not dry out the mucous membranes.
D)   does not induce drowsiness.

Question 20

Which of the following are diseases which result from one's own immune system attacking the body? (Select all that apply.)

Accepted Answer

A)   Lupus erythematosus
B)   Glomerulonephritis
C)   Polio
D)   Rheumatoid arthritis
E)   Thrombocytopenic purpuraF)  Osteoarthritis

Exam 54: Care of the Patient with an Immune Disorder