NUR 257 Final Exam
- Anaphylactic
Type I hypersensitivity (most severe)
- Cytotoxic
Type II hypersensitivity
Antibody-mediated immune reaction in which antibodies (IgG or IgM) are directed against cellular or extracellular matrix antigens, resulting in cellular destruction, functional loss, or damage to tissues.
• Example Penicillin
- Type IV
Delayed hypersensitivity reaction.
• A common immune response that occurs through direct action of sensitized T cells when stimulated by contact with antigen. It is referred to as a delayed response in that it will usually require 12-24 hours at a minimum for signs of inflammation to occur locally. 1 / 4
• Example
contact dermatitis (eg, poison ivy rash), tuberculin skin test reactions
- Epinephrine
Medication used for anaphylaxic reactions.
- 4 hours
Rebound attack can occur how long after initial treatment of anyphylaxis?
- Thigh
Location of Epi-pen administration
- Anaphylactic (type 1)
An office worker eats a cookie that contains peanut butter. The worker begins wheezing, with an inspiratory stridor and air hunger, and the occupational health nurse is called to the office. The nurse should recognize that the worker is likely suffering from which type of hypersensitivity?
- Anaphylactic (type 1)
- Cytotoxic (type II)
- Immune complex (type III) 2 / 4
- Delayed-type (type IV)
- A client with an anaphylactic reaction after a bee sting
The nurse is providing care for a client who has experienced a type I hypersensitivity reaction.Which client would have this type of reaction?
- A client with an anaphylactic reaction after a bee sting
- A client with a skin reaction resulting from adhesive tape
- A client with a diagnosis of myasthenia gravis
- A client with rheumatoid arthritis
- B.Thigh
A nurse is caring for a client who has had an anaphylactic reaction after a bee sting. The nurse is providing client teaching prior to the client's discharge.
In the event of an anaphylactic reaction, the nurse explains that the client should self-administer epinephrine at which site?
- Forearm
- Thigh
- Deltoid muscle
- Abdomen
- B. Carrying an epinephrine pen
A 5-year-old has been diagnosed with a severe walnut allergy after experiencing an anaphylactic reaction. Which topic is the nurse's priority when providing health education to the family? A. Beginning immunotherapy 3 / 4
- Carrying an epinephrine pen
- Maintaining the child's immunization status
- Avoiding all foods that have a high potential for allergies
- B. Cytotoxic (type II)
A client is receiving a transfusion of packed red blood cells. Shortly after initiation of the transfusion, the client begins to exhibit signs and symptoms of a transfusion reaction. The client is suffering from which type of hypersensitivity?
- Anaphylactic (type 1)
- Cytotoxic (type II)
- Immune complex (type III)
- Delayed type (type IV)
- A. Type I
A client has sought care, stating that the client developed hives overnight. The nurse's inspection confirms the presence of urticaria. What type of allergic hypersensitivity reaction has the client developed?
- Type I
- Type II
- Type III
- Type IV
- Osteoarthritis
Noninflammatory degenerative disorder of the joints
- / 4