A client in the family practice clinic reports a 2-week history of an allergy to something. The nurse obtains the following assessment and laboratory data:
Physical Assessment Data
Laboratory Results
Reports sore throat, runny nose, headache
Posterior pharynx is reddened
Nasal discharge is seen in the back of the throat
Nasal discharge is creamy yellow in color
Temperature 100.2 F (37.9 C)
Red, watery eyes
White blood cell count: 13,400/mm3
Eosinophil count: 11.5
Neutrophil count: 82
About what medications and interventions does the nurse plan to teach this client? (Select all that apply.)
a.
Elimination of any pets
b.
Chlorpheniramine (Chlor-Trimaton)
c.
Future allergy scratch testing
d.
Proper use of decongestant nose sprays
e.
Taking the full dose of antibiotics
Question 2The nursing student is studying hypersensitivity reactions. Which reactions are correctly matched with their hypersensitivity types? (Select all that apply.)
a. Type I - Examples include hay fever and anaphylaxis
b. Type II - Mediated by action of immunoglobulin M (IgM)
c. Type III - Immune complex deposits in blood vessel walls
d. Type IV - Examples are poison ivy and transplant rejection
e. Type V - Examples include a positive tuberculosis test and sarcoidosis
Question 3A client having severe allergy symptoms has received several doses of IV antihistamines. What action by the nurse is most important?
a. Assess the client's bedside glucose reading.
b. Instruct the client not to get up without help.
c. Monitor the client frequently for tachycardia. d.
Record the client's intake, output, and weight.