Hypersensitivity & Immunity - Ignatavicius Chapter 18 (TEST BANK & Evolve) with Verified Answers
Hypersensitivity & Immunity - Ignatavicius Chapter 18 (TEST BANK & Evolve) with Verified Answers 1.A nurse is teaching a client with systemic lupus erythematosus about prednisone. What information is the priority? A.Might make the client feel jittery or nervous. B.Can cause low sodium and fluid retention. C.Long term effects include fat redistribution. D.Never stop prednisone abruptly.:ANS: D. The nurse teaches the client to avoid stopping the drug abruptly as the priority because this can lead to a life-threatening adrenal crisis. 2.The nurse is caring for clients on the MedSurg unit. What action by the nurse will help prevent a client from having a type II hypersensitivity reaction? A.Administering steroids for a positive TB test. B.Correctly identifying the client prior to a blood transfusion. C.Keeping the client free of the offending agent. D.Providing a latex-free environment for the client.:ANS: B. A classic example of a type II hypersensitivity reaction is a blood transfusion reaction. These can be prevented by correctly identifying the client and cross-checking the unit of blood to be administered. 3.A client has been newly diagnosed with Systemic Lupus Erythematosus and is reviewing self-care measures with the nurse. Which statement by the client indicates a need to review the material? A."I will avoid direct sunlight as much as possible." B."Baby powder is good for the constant sweating." C."Grouping errands will help prevent fatigue." D."Rest time will have to become a priority.":ANS: B. Constant sweating is not a sign of SLE and powders are drying so they should not be used, at least not in excess.
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