Question 1

A nurse is caring for an asthmatic client on antihistamine therapy. For which side effect of antihistamines should the nurse assess this client?

Accepted Answer

Antihistamines can cause dry mouth and difficulty swallowing.

Question 2

The nurse is treating a client who presents in the ER with airway obstruction owing to laryngeal edema and vasodilation resulting in hypotension and hypoperfusion of the organs. Which condition is this client most likely experiencing?

Accepted Answer

The client is most likely experiencing anaphylaxis, which is a severe, potentially life-threatening allergic reaction that can occur rapidly. It is characterized by symptoms such as airway obstruction due to laryngeal edema, vasodilation resulting in hypotension, and hypoperfusion of organs.

Question 3

The nurse is caring for a 12-year-old boy who is brought to the ER with signs of anaphylaxis following a bee sting. Which signs support this medical diagnosis? Select all that apply.

Accepted Answer

The answer of The nurse is caring for a 12-year-old...

Question 4

The nurse is caring for a client experiencing anaphylactic shock related to antibiotic administration. Which nursing intervention for anaphylactic shock should be performed immediately?

Accepted Answer

The answer of The nurse is caring for a client...

Question 5

The nurse is following the emergency protocol when dealing with a client in anaphylactic shock. Which are steps in this protocol? Select all that apply.

Accepted Answer

Administering corticosteroids, preparing for intubation, providing supplemental oxygen, and gathering IV access equipment are all appropriate steps in managing anaphylactic shock. Placing the client in a prone position is not appropriate; they should be in a supine position with legs elevated if possible.

Question 6

The nurse is assessing a client diagnosed with leukemia. Which immune disorder is most likely involved in this condition?

Accepted Answer

The answer of The nurse is assessing a client diagnosed...

Question 7

The nurse is administering fexofenadine to a client with severe respiratory allergies. Which type of drug is this antihistamine?

Accepted Answer

Fexofenadine is classified as a nonsedating antihistamine, which means it is designed to relieve allergy symptoms without causing drowsiness or sedation, unlike some other types of antihistamines.

Question 8

The nurse is providing discharge teaching for a client who had a kidney transplant. Which teaching point is appropriate for this client?

Accepted Answer

Immunosuppressive drugs are required lifelong for kidney transplant recipients to prevent organ rejection. Tissue typing reduces but does not eliminate rejection risk, and rejection signs can be similar to other immune responses. Immunosuppressive drugs reduce but do not eliminate the risk of rejection.

Question 9

Which statement regarding the etiology or incidence of autoimmune diseases is accurate?

Accepted Answer

Multiple autoimmune disorders can indeed occur in the same individual, indicating a complex interplay of genetic, environmental, and possibly hormonal factors that predispose to autoimmunity.

Question 10

Which treatments are recommended for systemic lupus erythematosus and other autoimmune disorders? Select all that apply.

Accepted Answer

The answer of Which treatments are recommended for systemic lupus...

Quiz 84: Hiv and Aids