Chapter 43 Allergic Dysfunction: Nursing Management

Chapter 43  Allergic Dysfunction: Nursing Management

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. The nurse is determining if a client is experiencing an immune response. Which of the following is not one of the four R’s of the immune response?
1.
Recognize
2.
Remember
3.
Remove
4.
Respond

ANS: 3
The four R’s of the immune response are recognize, respond, remember, and regulate. The regulate action is “turning on” for the invader or “turning off” when the invader is destroyed. It is not about removing.

PTS: 1 DIF: Analyze REF: Allergic Dysfunction

2. A client is experiencing a transfusion reaction. The nurse realizes that a transfusion reaction is which type of hypersensitive reaction?
1.
Type 1
2.
Type 2
3.
Type 3
4.
Type 4

ANS: 2
Type 1 reactions are anaphylactic reactions. Type 2 is cytotoxic (e.g., transfusion reaction). Type 3 is immune complex. Type 4 is delayed hypersensitive.

PTS: 1 DIF: Analyze
REF: Table 43-2 Hypersensitive Reactions: Gell-Coombs Classification

3. During the health history, the clients says, “I have many allergies.” Of the following medications, which one would be for the treatment of “allergies?”
1.
Acetaminophen
2.
Docusate
3.
Diphenhydramine hydrochloride
4.
Guaifenesin

ANS: 3
Diphenhydramine hydrochloride (Benadryl) is an antihistamine that is used for allergic reactions. Guaifenesin (Robitussin) is an expectorant. Acetaminophen (Tylenol) is an antipyretic and analgesic. Docusate (Colace) is a stool softener.

PTS: 1 DIF: Analyze
REF: Table 43-6 Pharmacology Facts: Pharmaceutical Therapy for Symptom Relief of Chronic Allergies

4. After instructing a client about food allergies, the nurse would determine that additional instruction is needed when the client states that which of the following foods should be avoided?
1.
Carrots
2.
Peanuts
3.
Shellfish
4.
Strawberries

ANS: 1
Foods such as eggs, milk, nuts, shellfish, and soy wheat are common food allergens; carrots are not.

PTS: 1 DIF: Analyze
REF: Table 43-3 Categories of Sensitizing Agents (Allergens)