Chapter 14: Altered Immune Responses, and Transplantation questions with correct answers

Chapter 14: Altered Immune Responses, and Transplantation 1. The nurse provides discharge instructions to a patient who has an immune deficiency involving the T lymphocytes. Which screening should the nurse include in the teaching plan for this patient? 2. A new mother expresses concern about her baby developing allergies and asks what the health care provider meant by “passive immunity.” Which example should the nurse use to explain this type of immunity? 3. A patient is being evaluated for possible atopic dermatitis. The nurse expects elevation of which laboratory value? 4. An older adult patient who is having an annual check-up tells the nurse, “I feel fine, and I don’t want to pay for all these unnecessary cancer screening tests!” Which information should the nurse plan to teach this patient? 5. A patient who collects honey to earn supplemental income has developed a hypersensitivity to bee stings. Which statement, if made by the patient, would indicate a need for additional teaching? 6. Which teaching should the nurse provide about intradermal skin testing to a patient with possible allergies? 7. The nurse, who is reviewing a clinic patient’s medical record, notes that the patient missed the previous appointment for weekly immunotherapy. Which action by the nurse is most appropriate? 8. While obtaining a health history from a patient, the nurse learns that the patient has a history of allergic rhinitis and multiple food allergies. Which action by the nurse is most appropriate? 9. The nurse teaches a patient diagnosed with systemic lupus erythematosus (SLE) about plasmapheresis. What instructions about plasmapheresis should the nurse include in the teaching plan? 10. The nurse is caring for a patient undergoing plasmapheresis. The nurse should assess the patient for which clinical manifestation? 11. Which statement by a patient would alert the nurse to a possible immunodeficiency disorder? 12. Which patient should the nurse assess first? 13. Ten days after receiving a bone marrow transplant, a patient develops a skin rash. What would the nurse suspect is the cause of this patient’s skin rash? 14. An adolescent patient seeks care in the emergency department after sharing needles for heroin injection with a friend who has hepatitis B. To provide immediate protection from infection, what medication will the nurse administer? 15. The nurse teaches a patient about drug therapy after a kidney transplant. Which statement by the patient would indicate a need for further instructions? 16. An older adult patient has a prescription for cyclosporine following a kidney transplant. Which information in the patient’s health history has the most implications for planning patient teaching about the medication at this time? 17. A patient is admitted to the hospital with acute rejection of a kidney transplant. Which intervention will the nurse prepare for this patient? 18. The charge nurse is assigning rooms for new admissions. Which patient would be the most appropriate roommate for a patient who has acute rejection of an organ transplant? 19. A patient who has received allergen testing using the cutaneous scratch method has developed itching and swelling at the skin site. Which action should the nurse take first? 20. A patient who is anxious and has difficulty breathing seeks treatment after being stung by a wasp. What is the nurse’s priority action? 21. Immediately after the nurse administers an intracutaneous injection of an allergen on the forearm, a patient complains of itching at the site and of weakness and dizziness. What action should the nurse take first? 22. A clinic patient is experiencing an allergic reaction to an unknown allergen. Which action is most appropriate for the registered nurse (RN) to delegate to a licensed practical/vocational nurse (LPN/LVN)? 23. The health care provider asks the nurse whether a patient’s angioedema has responded to prescribed therapies. Which assessment should the nurse perform? 24. A nurse has obtained donor tissue typing information about a patient who is waiting for a kidney transplant. Which results should be reported to the transplant surgeon? 25. A patient who is receiving immunotherapy has just received an allergen injection. Which assessment finding is most important to communicate to the health care provider? 1. A patient who is receiving an IV antibiotic develops wheezes and dyspnea. In which order should the nurse implement these prescribed actions? (Put a comma and a space between each answer choice [A, B, C, D, E]). Chapter 30: Nursing Assessment: Hematologic System 1. The nurse is caring for a patient who is being discharged after an emergency splenectomy following an automobile accident. Which instructions should the nurse include in the discharge teaching? ...............................CONTINUED.........................................