Chapter 43--Allergic Dysfunction: Nursing Management

Chapter 43–Allergic Dysfunction: Nursing Management

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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)

 

5. A client recovering from a kidney transplant needs to be assessed for a hypersensitivity reaction. Which type of hypersensitive reaction is associated with transplants?

1.	Type 1
2.	Type 2
3.	Type 3
4.	Type 4

 

 

ANS:  4

Type 1 reactions are anaphylactic reactions. Type 2 is cytotoxic. Type 3 is immune complex. Type 4 is delayed hypersensitive reaction evidenced by transplant rejection.

 

PTS:   1                    DIF:    Apply

REF:    Table 43-2 Hypersensitive Reactions: Gell-Coombs Classification