Chapter 12: Care of Patients with Immune and Lymphatic Disorders

Chapter 12: Care of Patients with Immune and Lymphatic Disorders

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When the patient has an immediate allergic reaction to the injection of radiopaque dye, the nurse is aware that this immediate response is a type ___ response, which is _____ generated.

a.	1, antibody
b.	2, mast cell
c.	1, mast cell
d.	2, antibody

 

 

ANS:  C

An immediate allergic reaction is a type 1 response, which is mast cell generated. Type 2 are delayed reactions.

 

DIF:    Cognitive Level: Application           REF:   236                OBJ:   4 (theory)

TOP:   Allergies         KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

2. After an influenza immunization, the patient complains of shortness of breath, breaks out in hives, and begins to twitch. What should the nurse initially give?

a.	Epinephrine by injection
b.	O2 by mask at 5 L/min
c.	Corticosteroid by injection
d.	Bronchodilators per nebulization

 

 

ANS:  A

Epinephrine is the initial line of defense to reverse anaphylaxis, followed by high-flow oxygen, bronchodilators, and corticosteroid injection as necessary.

 

DIF:    Cognitive Level: Application           REF:   243                OBJ:   2 (clinical)

TOP:   Anaphylaxis   KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

3. Education for the patient with systemic lupus erythematosus (SLE) should include what teaching point?

a.	Training with weights to increase strength
b.	Using alcohol-based skin products
c.	Managing pain with opioids
d.	Using potent sunscreen

 

 

ANS:  D

Protection against UV rays with a potent sunscreen is advised. NSAIDs are used for pain relief. Alcohol-based skin application and joint strain should be avoided.

 

DIF:    Cognitive Level: Application           REF:   247-248 | Nursing Care Plan 12-1

OBJ:   8 (theory)       TOP:   SLE Teaching

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

4. The patient reports that he has been diagnosed with stage II Hodgkin’s disease. The nurse interprets this to mean that the infected lymph node involvement could be:

a.	spreading outside of the lymph system.
b.	in a single node.
c.	in both axillae.
d.	in two nodes in the left axilla area.

 

 

ANS:  D

Stage II indicates that there are two or more involved lymph nodes on the same side of the diaphragm (or body). The lymph nodes affected could be in any part of the lymphatic system. The disease spreading outside of the lymph system indicates stage IV. Single node involvement is stage I, and lymph involvement on both sides of the diaphragm or body is considered stage III.

 

DIF:    Cognitive Level: Application           REF:   252 | Figure 12-6

OBJ:   9 (theory)       TOP:   Hodgkin’s Disease Node Staging

KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease