Question 1

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.)

Accepted Answer

A number of factors either cause or influence this breakdown of self-recognition,including viral infections,drugs,and cross-reactive antibodies.Hormones have also been found to influence this breakdown of self-recognition.C.E.Vaccinations and bacterial infections have not been identified as contributing to the development of an autoimmune disorder.

Question 2

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.

Accepted Answer

Low back pain and headache can be symptoms of a transfusion reaction.If symptoms of a reaction are noted,the blood transfusion is immediately stopped and agency policy for a suspected transfusion reaction is followed.A normal saline infusion with new tubing is started to keep the vein patent.The physician and blood bank are immediately notified.A nurse remains with the patient for reassurance and monitoring of symptoms and vital signs.If a blood incompatibility is suspected,the unused blood and blood tubing are returned to the blood bank for testing.A series of blood and urine specimens are collected and sent to the laboratory for analysis.The physician's orders are followed to treat the patient's symptoms.

Question 3

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.)

Accepted Answer

Oral or topical antihistamines and topical drying agents may be used.Topical corticosteroids may be used and are most effective if sparingly applied after a bath or shower.Topical immunomodulators also may be prescribed when other treatments fail.A.Oral antibiotics are not indicated in the treatment of a latex allergy.

Question 4

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.)

Accepted Answer

Cotton allows air movement.White cloth is less irritating than those with dyes.Scratching is decreased during sleep with the use of gloves/mittens or by covering affected area.C.D.The use of white cotton socks over the hands of a patient with contact dermatitis is not done to prevent the wounds from spreading or to absorb the drainage from the wounds.

Question 5

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?

Accepted Answer

The answer of A patient with systemic lupus erythematosis is...

Quiz 19: Nursing Care of Patients With Immune Disorders

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.)

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.

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 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.)

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?