Chapter 19. Nursing Care of Patients With Immune Disorders

Chapter 19. Nursing Care of Patients With Immune Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____     1.   A patient is diagnosed with urticaria. For which type of hypersensitivity reaction should the nurse plan care for this patient?

____     2.   A patient is diagnosed with hypogammaglobulinemia. Which of immune cell should the nurse realize is defective in this disorder?

____     3.   The nurse is contributing to a group of patients care plans. Which patient should the nurse identify as being at risk for developing serum sickness?

____     4.   The nurse is caring for a patient with idiopathic autoimmune hemolytic anemia. Which action should the nurse include in the plan of care for this patient?

____     5.   The nurse is caring for a patient who has had a portion of stomach removed. Which manifestations should the nurse expect to determine if the patient has a vitamin B₁₂ deficiency?

MULTIPLE CHOICE

1. ANS:  A

Anaphylaxis, urticaria, and angioedema are the most severe forms of type I hypersensitivity reactions. B. A type II hypersensitivity reaction involves the destruction of a cell or substance that has an anti-gen attached to its cell membrane. C. A type III hypersensitivity reaction involves immune complexes formed by antigens and antibodies, usually of the IgG type. D. A type IV hypersensitivity reaction, also called a delayed reaction, occurs when a sensitized T lymphocyte comes in contact with the particular antigen to which it is sensitized.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Application

2. ANS:  B

Hypogammaglobulinemia is characterized by the absence or deficiency of one or more of the five classes of immunoglobulins from defective B-cell function. A. C. D. Hypogammaglobulinemia is not caused by defective T, mast, or plasma cells.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis

3. ANS:  A

Serum sickness is seen occasionally after administration of penicillin and sulfonamide. B. C. D. Serum sickness is not associated with blood transfusions, cryoprecipitate, factor IX, steroids, or immunosuppressant therapy.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Pharmacological and Parenteral Therapies | Cognitive Level: Analysis

4. ANS:  A

With anemia, the patient will be fatigued and may have activity intolerance and be a fall risk. Assistance with ambulation should be done for safety. C. D. These actions would be appropriate if the patient had thrombocytopenia. B. This action would be appropriate if the patient had neutropenia.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Safe and Effective Care Environment—Safety and Infection Control | Cognitive Level: Application

5. ANS:  B

Non-immune-related causes of pernicious anemia include any type of gastric or small bowel resections coupled with no or inadequate vitamin B₁₂ or intrinsic factor replacement. Vitamin B₁₂ deficiency symptoms include numbness and tingling, weakness, and glossitis. A. C. D. These are not manifestations associated with vitamin B₁₂ deficiency.

PTS:   1                    DIF:    Moderate

KEY:  Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application