NUR 220 Test 1
- A 25-year-old client receives a knife wound to the leg in a hunting accident. Which type of
immunity was compromised?
Answer Natural immunity
- A woman who has experienced severe seasonal allergies in recent years has been referred for
allergy skin testing.The nurse at the allergy clinic should be aware of the need to take precautions against the patient's risk of which of the following nursing diagnoses?
Answer Impaired gas exchange
- Which test indicates the quantity of allergen necessary to evoke an allergic reaction?
Answer Serum-specific IgE test
- A patient is experiencing an allergic reaction to a dose of penicillin. What should the nurse
look for in the patient's initial assessment?
Answer Dyspnea, bron- chospasm, and/or laryngeal edema.
- The nurse is administering intravenous Vancomycin. What will the nurse initially assess the
client for if an allergic reaction occurs?
Answer dyspnea, bron- chospasm, and/or laryngeal edema
- Which term refers to an incomplete antigen?
Answer Hapten
- The nurse is planning the care of an 8-year-old boy who has been diagnosed with atopic 1 / 2
Answer
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dermatitis. In the boy's plan of nursing care, what nursing diagno- sis should the nurse prioritize?
Answer Risk for impaired skin integrity related to atopic dermatitis
- A client has had a "stuffy nose" and obtained an oxymetazoline nasal spray. What education
should the nurse provide to the client in order to prevent "rebound congestion"?
Answer Only use the nasal spray for 3 to 4 days once every 12 hours.
- A nurse is teaching a client about allergic rhinitis. What client statements indicate teaching
has been effective? Select all that apply.
Answer I should use my medication for allergy exacerbation only when my allergy is apparent."
"I need to reduce my exposure to people that have upper respiratory infections." "I will remove as much carpet from my house as I can."
- Which statement describes the clinical manifestations of a delayed hyper- sensitivity (type
IV) allergic reaction to latex?
Answer They are localized to the area of exposure, usually the back of the hands.
- A 44-year-old man has come to the clinic with an asthma exacerbation. He tells the nurse
that his father and brother also suffer from asthma, as does his 15-year-old son. The nurse explains that this is an allergic response based on a genetic predisposition. The specific allergen initiated by this immunological mechanism is usually mediated by
Answer Immunoglobulin E
- The parents of a child with contact dermatitis are asking questions about the reaction
within the immune system. What description regarding contact
dermatitis as a type IV hypersensitivity reaction is accurate?
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