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codym806 codym806
wrote...
Posts: 327
Rep: 1 0
6 years ago
The health care provider asks the nurse whether a patient's angioedema has responded to prescribed therapies. Which assessment should the nurse perform?
 
  a. Ask the patient about any clear nasal discharge.
  b. Obtain the patient's blood pressure and heart rate.
  c. Check for swelling of the patient's lips and tongue.
  d. Assess the patient's extremities for wheal and flare lesions.

Question 2

An older adult patient has a prescription for cyclosporine following a kidney transplant. Which information in the patient's health history has the most implications for planning patient teaching about the medication at this time?
 
  a. The patient restricts salt to treat prehypertension.
  b. The patient drinks 3 to 4 quarts of fluids every day.
  c. The patient has many concerns about the effects of cyclosporine.
  d. The patient has a glass of grapefruit juice every day for breakfast.

Question 3

A patient who is anxious and has difficulty breathing seeks treatment after being stung by a wasp. What is the nurse's priority action?
 
  a. Have the patient lie down.
  b. Assess the patient's airway.
  c. Administer high-flow oxygen.
  d. Remove the stinger from the site.

Question 4

The charge nurse is assigning rooms for new admissions. Which patient would be the most appropriate roommate for a patient who has acute rejection of an organ transplant?
 
  a. A patient who has viral pneumonia
  b. A patient with second-degree burns
  c. A patient who is recovering from an anaphylactic reaction to a bee sting
  d. A patient with graft-versus-host disease after a recent bone marrow transplant

Question 5

A patient who has received allergen testing using the cutaneous scratch method has developed itching and swelling at the skin site. Which action should the nurse take first?
 
  a. Administer epinephrine.
  b. Apply topical hydrocortisone.
  c. Monitor the patient for lower extremity edema.
  d. Ask the patient about exposure to any new lotions or soaps.

Question 6

A patient is admitted to the hospital with acute rejection of a kidney transplant. Which intervention will the nurse prepare for this patient?
 
  a. Administration of immunosuppressant medications
  b. Insertion of an arteriovenous graft for hemodialysis
  c. Placement of the patient on the transplant waiting list
  d. A blood draw for human leukocyte antigen (HLA) matching
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Replies
wrote...
6 years ago
The answer to question 1

ANS: C
Angioedema is characterized by swelling of the eyelids, lips, and tongue. Wheal and flare lesions, clear nasal drainage, and hypotension and tachycardia are characteristic of other allergic reactions.

The answer to question 2

ANS: D
Grapefruit juice can increase the toxicity of cyclosporine. The patient should be taught to avoid grapefruit juice. High fluid intake will not affect cyclosporine levels or renal function. Cyclosporine may cause hypertension, and the patient's many concerns should be addressed, but these are not potentially life-threatening problems.

The answer to question 3

ANS: B
The initial action with any patient with difficulty breathing is to assess and maintain the airway. The other actions also are part of the emergency management protocol for anaphylaxis, but the priority is airway maintenance.

The answer to question 4

ANS: C
Treatment for a patient with acute rejection includes administration of additional immunosuppressants, and the patient should not be exposed to increased risk for infection as would occur from patients with viral pneumonia, graft-versus-host disease, and burns. There is no increased exposure to infection from a patient who had an anaphylactic reaction.

The answer to question 5

ANS: A
The initial symptoms of anaphylaxis are itching and edema at the site of the exposure. Hypotension, tachycardia, dilated pupils, and wheezes occur later. Rapid administration of epinephrine when excessive itching or swelling at the skin site is observed can prevent the progression to anaphylaxis. Topical hydrocortisone would not deter an anaphylactic reaction. Exposure to lotions and soaps does not address the immediate concern of a possible anaphylactic reaction. The nurse should not wait and observe for edema. The nurse should act immediately in order to prevent progression to anaphylaxis.

The answer to question 6

ANS: A
Acute rejection is treated with the administration of additional immunosuppressant drugs such as corticosteroids. Because acute rejection is potentially reversible, there is no indication that the patient will require another transplant or hemodialysis. There is no indication for repeat HLA testing.
codym806 Author
wrote...
6 years ago
Exactly what I needed for my quiz Smiling Face with Open Mouth
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