A patient receiving cyclosporine after an organ transplant is experiencing an acute onset of hypertension and headaches. What should these assessment findings suggest to the nurse?
1. These are signs of toxicity.
2. This is a normal reaction to the medication.
3. These are signs of impending transplanted organ failure.
4. The transplanted organ is beginning to function.
Question 2The nurse is instructing a patient diagnosed with AIDS regarding foods that will increase caloric intake. Which meal choice indicates that the patient understands which types of foods to consume?
1. spaghetti and meat sauce, raisin salad, whole grain roll with butter, vanilla milkshake (with Ensure), and a piece of pecan pie
2. baked chicken (thigh), cabbage, small green salad, slice of white bread, dried prunes, and a soda
3. red beans and rice, slaw, tomato, crackers, chocolate pudding, and iced tea
4. vegetable soup, small piece of cornbread, banana pudding, and water
Question 3A patient has a history of severe responses to skin testing done for allergies. What should be used in place of skin testing for this patient?
1. radioallergosorbent test
2. white blood cells count and differential
3. blood type and crossmatch
4. immune complex assay
Question 4A patient is experiencing symptoms of exposure to environmental ragweed. The nurse should instruct the patient on the use of which medication?
1. antihistamines
2. antibiotics
3. antiviral medications
4. antifungal medications
Question 5The intradermal skin test conducted on a patient is positive. What did the nurse most likely assess in this patient?
1. a wheal larger than 5 cm from the control and erythema
2. localized, itchy wheal
3. papules
4. ulceration
Question 6A patient is following an elimination diet to help identify food allergies. After 1 week, the patient's symptoms resolve. What should be planned for this patient?
1. reintroducing the eliminated foods one at a time to determine the allergy
2. resuming the regular pre-elimination diet
3. taking an antihistamine before eating a food that causes a food allergy
4. consuming foods identified as causing allergies for the full week following the elimination diet
Question 7A patient is suspected of having a hypersensitivity reaction. Which laboratory test result supports this suspicion?
1. patch test with a 1-inch area of erythema
2. eosinophils 2 of the total WBC
3. Coombs indirect showing no agglutination
4. elevated hematocrit level
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