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NSG 107 Chapter 15: Care of the Patient with an Immune Disorder Questions With Complete Solutions
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NSG 107 Chapter 15: Care of the Patient with an Immune Disorder Questions With Complete Solutions
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NSG 107 Chapter 15: Care of the Patient with an ImmuneDisorder Questions With Complete Solutions
A patient is admitted with a secondary immunodeficiency from
chemotherapy. The nursing plan of care should include
provisions for:
a. infection control.
b. supporting self-care.
c. nutritional education.
d. maintaining high fluid intake. Correct Answer a. infection
control.
Immune deficient persons are at risk for infection and need to be
protected aggressively for contagion.
p. 1973
A patient is undergoing immunotherapy on a perennial basis.
With this form of treatment, what should the patient receive?
a. Larger doses each week
b. Higher concentrations each week
c. Increased amounts and concentrations in 6-week cycles
d. The same amount and concentration each visit Correct
Answer c. Increased amounts and concentrations in 6-week
cycles
Perennial therapy is most widely accepted, because it allows for
a higher cumulative dose, which produces a better effect.
,Perennial therapy usually begins with 0.05 mL of 1:10,000
dilution and increases to 0.5 mL in a 6-week period.
p. 1967
A patient who works in a plant nursery and has suffered an
allergic reaction to a bee sting is stabilized and prepared for
discharge from the clinic. During discussion of prevention and
management of further allergic reactions, the nurse identifies a
need for additional teaching based on which comment?
a. "I need to think about a change in my occupation."
b. "I will learn to administer epinephrine so that I will be
prepared if I am stung again."
c. "I should wear a Medic-Alert bracelet indicati Correct
Answer d. "I will need to take maintenance doses of
corticosteroids to prevent reactions to further stings."
The nurse's responsibilities in patient education are as follows:
Teach the patient preparation and administration of epinephrine
subcutaneously. There is no need for the patient to take
maintenance doses of corticosteroids because this was a short,
rapid reaction.
p. 1970
A transfusion using blood from one's own blood is a(n)
___________ transfusion, which is the best defense against a
transfusion reaction Correct Answer autologous
An autologous transfusion uses blood from one's own body.
, p. 1973
A type IV latex allergy is characterized by________ _______.
Correct Answer contact dermatitis
Type IV latex allergy is that of a contact dermatitis.
p. 1971
An anxious patient enters the emergency room with angioedema
of the lips and tongue, dyspnea, urticaria, and wheezing after
having eaten a peanut butter sandwich. What should be the
nurse's first intervention?
a. Apply cool compresses to urticaria
b. Provide oxygen per non-rebreathing mask
c. Cover patient with a warm blanket
d. Prepare for venipuncture for the delivery of IV medication
Correct Answer b. Provide oxygen per non-rebreathing mask
Provision of oxygen is the initial primary intervention.
Anaphylaxis may advance very rapidly and the patient may have
to be intubated. Covering the patient with a warm blanket is not
wrong, but not an initial intervention.
p. 1971
Because the older adult has decreased production of saliva and
gastric secretions, they are at risk for:
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