Pass point Immune and Hematologic Disorders Study Guide with Complete Solutions

Pass point Immune and Hematologic Disorders Study Guide with Complete Solutions While obtaining a health history, the nurse learns that the client is allergic to bee stings. When obtaining this client's medication history, the nurse should determine if the client keeps which medication on hand? - Correct Answer diphenhydramine hydrochloride Explanation: A client who is allergic to bee stings should keep diphenhydramine on hand because its antihistamine action can prevent a severe allergic reaction. Pseudoephedrine is a decongestant, which is used to treat cold symptoms. Guaifenesin is an expectorant, which is used for coughs. Loperamide is an antidiarrheal agent. A client in a late stage of acquired immunodeficiency syndrome (AIDS) shows signs of AIDS-related dementia. Which nursing diagnosis takes highest priority? - Correct Answer Risk for injury Explanation: In a client with AIDS, central nervous system (CNS) deterioration can lead to AIDS-related dementia. This type of dementia impairs cognition and judgment, placing the client at risk for injury. Although Bathing or hygiene self-care deficit and Complicated grieving may be relevant in AIDS, these diagnoses don't take precedence in a client with AIDS-related dementia. Because CNS deterioration results from infection, Ineffective cerebral tissue perfusion isn't applicable. The parents of a child diagnosed with leukemia have stated that they'll give aspirin to their child for pain relief. Which statement by the nurse about aspirin would be most accurate? - Correct Answer "It's contraindicated because it promotes bleeding tendencies." Explanation: Aspirin would be contraindicated be cause it promotes bleeding. Aspirin use has also been associated with Reye syndrome in children. For home use, acetaminophen is recommended for mild to moderate pain. Aspirin enhances the effects of methotrexate and has no effect on platelet production. Non opioid analgesia has been effective for mild to moderate pain in children with leukemia. A client reports nausea and vomiting as a side effect of radiation and chemotherapy. When is the best time for the nurse to administer antiemetics? - Correct Answer 30 minutes before initiation