Deck 43: Allergic Dysfunction: Nursing Management

Question 1

The nurse suspects a client is experiencing atopic asthma when which of the following are assessed? (Select all that apply.)

A) Shortness of breath with exertion
B) Nighttime coughing
C) Chest tightness
D) Wheezing
E) Rash
F) Ear pain

Answer 1

Shortness of breath with exertion
Nighttime coughing
Chest tightness
Wheezing
Rash

Question 2

The nurse is teaching a client how to avoid allergic reactions. Which of the following is not an appropriate recommendation?

A) "Avoid the allergen."
B) "Carry your prescribed medications."
C) "Use corticosteroids daily to prevent reactions."
D) "Wear a medical alert bracelet."

Answer 2

"Use corticosteroids daily to prevent reactions."

Question 3

A client recovering from a kidney transplant needs to be assessed for a hypersensitivity reaction. Which type of hypersensitive reaction is associated with transplants?

A) Type 1
B) Type 2
C) Type 3
D) Type 4

Answer 3

Type 4

Question 4

A client is being instructed to avoid airborne allergens. Which of the following allergens would be considered airborne? (Select all that apply.)

A) Animal dander
B) Eggs
C) Fungal spores
D) Grass pollen
E) Insect stings
F) Milk

Question 5

The nurse begins to experience red, itchy hands after using gloves for client care. Which of the following should the nurse consider as causing these symptoms?

A) Seasonal allergies
B) Influenza
C) Latex allergy
D) Serum sickness

Question 6

The nurse is determining if a client is experiencing an immune response. Which of the following is not one of the four R's of the immune response?

A) Recognize
B) Remember
C) Remove
D) Respond

Question 7

A client is prescribed a Leukotriene modifier as part of asthma treatment. The nurse should instruct the client that this medication:

A) relaxes bronchospasm.
B) increases mucociliary clearance.
C) reduces inflammation.
D) inhibits the allergic process.

Question 8

A client is experiencing a transfusion reaction. The nurse realizes that a transfusion reaction is which type of hypersensitive reaction?

A) Type 1
B) Type 2
C) Type 3
D) Type 4

Question 9

Which of the following should the nurse instruct a client diagnosed with asthma on ways to reduce asthma triggers? (Select all that apply.)

A) Remove carpets in bedrooms.
B) Use stuffed animals as toys.
C) Keep pets off of furniture.
D) Avoid freshly cut grass.
E) Avoid cigarette smoke.
F) Use asthma medication approximately 10 minutes before exercise.

Question 10

A client is scheduled for a skin-prick test to diagnose the cause for his allergic reactions. Prior to this test, which of the following medications should the client be instructed to avoid? (Select all that apply.)

A) Corticosteroids
B) Antihistamines
C) Benzodiazepines
D) Theophylline
E) Antidepressants
F) Aspirin

Question 11

A client begins to sneeze and have an increase in nasal secretions. The nurse realizes that the antibody that attaches to mast cells and plays a critical role in the allergic process is:

A) IgA.
B) IgD.
C) IgE.
D) IgG.

Question 12

During the health history, the clients says, "I have many allergies." Of the following medications, which one would be for the treatment of "allergies?"

A) Acetaminophen
B) Docusate
C) Diphenhydramine hydrochloride
D) Guaifenesin

Question 13

A client, receiving a dose of penicillin for an infection, begins to complain of difficulty breathing and has a respiratory rate of 38. This client is experiencing what type of reaction?

A) Type 1
B) Type 2
C) Type 3
D) Type 4

Question 14

A client is demonstrating signs of an anaphylactic reaction. Which of the following should the nurse do? (Select all that apply.)

A) Place the client in the supine position.
B) Assist the client to ambulate.
C) Maintain the airway.
D) Provide oral fluids.
E) Begin an intravenous access line.
F) Place the client in the prone position.

Question 15

An individual is petting a cat. Early response to an antigen would include all of the following EXCEPT:

A) airway obstruction.
B) itchy eyes.
C) nasal secretions.
D) sneezing.

Question 16

A client is experiencing intense pruritis from contact dermatitis. Which of the following would be helpful for this client?

A) Administer hydroxyzine HCL as prescribed.
B) Cover the area with a warm compress.
C) Instruct to scratch the skin with finger pads.
D) Increase ambulation when itching occurs.

Question 17

A client calls for the nurse and says that her mouth has been itchy since she ate lunch. Which of the following should the nurse do to assist the client?

A) Ask the client if she has ever been diagnosed with a food allergy.
B) Ask the physician to prescribe an oral steroid.
C) Assess the client's vital signs.
D) Assess the client's tongue and throat

Question 18

After instructing a client about food allergies, the nurse would determine that additional instruction is needed when the client states that which of the following foods should be avoided?

A) Carrots
B) Peanuts
C) Shellfish
D) Strawberries