Exam (elaborations)
Chapter 32 Management of Patients With Immune Deficiency Disorders
- Course
- Institution
Chapter 32 Management of Patients With Immune Deficiency Disorders
[Show more]
2 reviews
By: ashleyvidaltorres12 • 1 day ago
By: 0698825K • 3 days ago
Seller
Follow
academicexpert
Reviews received
Content preview
Chapter 32 Management of Patients With Immune Deficiency Disorders1. A teenager is diagnosed with cellulitis of the right knee and fails to respond to oral antibiotics.
He then develops osteomyelitis of the right knee, prompting a detailed diagnostic
workup that reveals a phagocytic disorder. This patient faces an increased risk of what
complication?
A) Thrombocytopenia
B) HIV/AIDS
C) Neutropenia D) Hemophilia Ans: C
Feedback:
Patients with phagocytic cell disorders may develop severe neutropenia. None of the other
listed health problems is a common complication of phagocytic disorders.
2. A patient is admitted for the treatment of a primary immunodeficiency and intravenous
immunoglobulin (IVIG) is ordered. What should the nurse monitor for as a potential adverse
effect of IVIG administration?
A) Anaphylaxis
B) Hypertension C) Hypothermia D) Joint pain Ans: A
Feedback:
Potential adverse effects of an IVIG infusion include hypotension, flank pain, chills,
and tightness in chest, terminating with a slightly elevated body temperature and anaphylactic
reaction. Hypertension, hypothermia, and joint pain are not usual adverse effects of IVIG.
3. A nurse is admitting a patient with an immunodeficiency to the medical unit. In planning the
care of this patient, the nurse should assess for what common sign of immunodeficiency?
A) Chronic diarrhea B) Hyperglycemia C) Rhinorrhea
D) Contact dermatitis
Ans: A
,Feedback:
The cardinal symptoms of immunodeficiency include chronic or recurrent severe infections,
infections caused by unusual organisms or organisms that are normal body flora, poor
response to treatment of infections, and chronic diarrhea. Hyperglycemia, rhinorrhea, and
contact dermatitis are not symptoms the patient is likely to exhibit.
4. A young couple visits the nurse practitioner stating that they want to start a family. The
husband states that his brother died of a severe infection at age 6 months. He says he never
knew what was wrong but his mother had him undergo ìblood testingî as a child. Based on
these statements, what health problem should the nurse practitioner suspect? A) Severe
neutropenia
B) X-linked agammaglobulinemia
C) Drug-induced thrombocytopenia
D) Aplastic anemia
Ans: B
Feedback:
There is no evidence of drug-induced thrombocytopenia or aplastic anemia. The child would
have only suffered from severe neutropenia if there was evidence of bacterial or fungal
infections. The fact the mother of this individual had him tested for gamma- globulin as a
child would indicate that his sibling had X-linked agammaglobulinemia. More than 10% of
patients with X-linked agammaglobulinemia are hospitalized for infection at less than 6
months of age. Since the condition is X-linked it is important for the couple to undergo
genetic testing.
, 5. The parents of a 1-month-old infant bring their child to the pediatrician with symptoms of
congestive heart failure. The infant is ultimately diagnosed with DiGeorge syndrome. What
will prolong this infant's survival?
A) Stem cell transplantation
B) Long-term antibiotics
C) Chemotherapy
D) Thymus gland transplantation
Ans: D
Feedback:
Transplantation of fetal thymus, postnatal thymus, or human leukocyte antigen (HLA)-
matched bone marrow has been used for permanent reconstitution of T-cell immunity in
infants with DiGeorge syndrome. Antibiotics and chemotherapy do not address the etiology of
the infant's disease. Stem cell transplantation is not a common treatment modality.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller academicexpert. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
83637 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now