IHUMAN CASE WEEK 2 A 36YEAR
OLD WOMAN WITH ITCHY
RASH ;OUTPATIENT CLINIC WIH
LABORATORY CA, Exams of
Integrated Case Studies
Chamberlain College of Nursing Integrated Case Studies
IHUMAN CASE WEEK 2 A 36YEAR OLD WOMAN WITH ITCHY
RASH ;OUTPATIENT CLINIC WIH LABORATORY CAPABILITIES ACTUAL
IHUMAN CASE 100%
1) Your patient is experiencing dyspnea and urticaria after ingesting penicillin. Auscultation of
his lungs reveals diffuse expiratory wheezes. Which of the following medications will best help
correct
your patient's bronchospasm?
A) Epinephrine 1:1000 SC
B) Ranitidine 50 mg IV
C) Solu-Medrol 125 mg IV
D) 100 percent oxygen via nonrebreather mask 15 lpm Answer: A) Epinephrine 1:1000 SC
(Page Ref: 272)
2) Which treatment would best halt the urticaria associated with an allergic reaction?
A) Solu-Medrol
,B) Oxygen
C) Dopamine and albuterol
D) Epinephrine and diphenhydramine Answer: D) Epinephrine and diphenhydramine
(Page Ref: 270, 271)
3) Your patient is experiencing profuse hives, itching, dyspnea, coughing, tachycardia, and
dizziness after eating seafood 5 minutes ago. You might also expect to see all of the following
additional signs EXCEPT:
A) laryngeal edema.
B) bronchospasm.
C) cyanosis.
D) hypertension. Answer: D) hypertension.
(Page Ref: 267-268)
4) Which sign associated with an allergic reaction should concern a caregiver the most?
A) Urticaria
B) Wheezing
C) Warm, flushed skin
, D) GI distress Answer: B) Wheezing
(Page Ref: 271-272)
5) Which of the following best describes why the secondary response to an antigen is faster
than the primary response?
A) The secondary response uses memory cells, which immediately release antibodies specific to
the antigen.
B) The secondary response uses memory cells, which immediately release antigens specific to
the antibodies.
C) The primary response uses B and T cells specific to the antigens.
D) The secondary response has fewer steps than the primary response, allowing it to progress
faster. Answer: A) The secondary response uses memory cells, which immediately release
antibodies specific to the antigen.
(Page Ref: 264)
6) Which of the following treatment regimens for anaphylaxis lists the medications in the
correct order of administration following oxygen?
A) Dexamethasone, diphenhydramine, epinephrine
B) Epinephrine, diphenhydramine, dexamethasone
C) Epinephrine, dexamethasone, diphenhydramine
OLD WOMAN WITH ITCHY
RASH ;OUTPATIENT CLINIC WIH
LABORATORY CA, Exams of
Integrated Case Studies
Chamberlain College of Nursing Integrated Case Studies
IHUMAN CASE WEEK 2 A 36YEAR OLD WOMAN WITH ITCHY
RASH ;OUTPATIENT CLINIC WIH LABORATORY CAPABILITIES ACTUAL
IHUMAN CASE 100%
1) Your patient is experiencing dyspnea and urticaria after ingesting penicillin. Auscultation of
his lungs reveals diffuse expiratory wheezes. Which of the following medications will best help
correct
your patient's bronchospasm?
A) Epinephrine 1:1000 SC
B) Ranitidine 50 mg IV
C) Solu-Medrol 125 mg IV
D) 100 percent oxygen via nonrebreather mask 15 lpm Answer: A) Epinephrine 1:1000 SC
(Page Ref: 272)
2) Which treatment would best halt the urticaria associated with an allergic reaction?
A) Solu-Medrol
,B) Oxygen
C) Dopamine and albuterol
D) Epinephrine and diphenhydramine Answer: D) Epinephrine and diphenhydramine
(Page Ref: 270, 271)
3) Your patient is experiencing profuse hives, itching, dyspnea, coughing, tachycardia, and
dizziness after eating seafood 5 minutes ago. You might also expect to see all of the following
additional signs EXCEPT:
A) laryngeal edema.
B) bronchospasm.
C) cyanosis.
D) hypertension. Answer: D) hypertension.
(Page Ref: 267-268)
4) Which sign associated with an allergic reaction should concern a caregiver the most?
A) Urticaria
B) Wheezing
C) Warm, flushed skin
, D) GI distress Answer: B) Wheezing
(Page Ref: 271-272)
5) Which of the following best describes why the secondary response to an antigen is faster
than the primary response?
A) The secondary response uses memory cells, which immediately release antibodies specific to
the antigen.
B) The secondary response uses memory cells, which immediately release antigens specific to
the antibodies.
C) The primary response uses B and T cells specific to the antigens.
D) The secondary response has fewer steps than the primary response, allowing it to progress
faster. Answer: A) The secondary response uses memory cells, which immediately release
antibodies specific to the antigen.
(Page Ref: 264)
6) Which of the following treatment regimens for anaphylaxis lists the medications in the
correct order of administration following oxygen?
A) Dexamethasone, diphenhydramine, epinephrine
B) Epinephrine, diphenhydramine, dexamethasone
C) Epinephrine, dexamethasone, diphenhydramine
