CHAPTER ALLERGY 38 MEDSURG
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
A patient with a family history of allergies has suffered an allergic response based on a genetic
predisposition. This atopic response is usually mediated by what immunoglobulin?
A)
Immunoglobulin A
B)
Immunoglobulin M
C)
Immunoglobulin G
D)
Immunoglobulin E - ANSWER D)
Immunoglobulin E
,An office worker takes a cupcake that contains peanut butter. He begins wheezing, with an inspiratory
stridor and air hunger and the occupational health nurse is called to the office. The nurse should recognize
that the worker is likely suffering from which type of hypersensitivity?
A)
Anaphylactic (type 1)
B)
Cytotoxic (type II)
C)
Immune complex (type III)
D)
Delayed-type (type IV) - ANSWER A)
Anaphylactic (type 1)
A patient is learning about his new diagnosis of asthma with the asthma nurse. What medication has the
ability to prevent the onset of acute asthma exacerbations?
,A)
Diphenhydramine (Benadryl)
B)
Montelukast (Singulair)
C)
Albuterol sulfate (Ventolin)
D)
Epinephrine - ANSWER B)
Montelukast (Singulair)
A nurse is preparing a patient for allergy skin testing. Which of the following precautionary steps is most
important for the nurse to follow?
A)
, The patient must not have received an immunization within 7 days.
B)
The nurse should administer albuterol 30 to 45 minutes prior to the test.
C)
Prophylactic epinephrine should be administered before the test.
D)
Emergency equipment should be readily available. - ANSWER D)
Emergency equipment should be readily available
A patient who is scheduled for a skin test informs the nurse that he has been taking corticosteroids to help
control his allergy symptoms. What nursing intervention should the nurse implement?
A)
The patient should take his corticosteroids regularly prior to testing.
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