The nurse recommends to the busy mother of three that the antihistamine fexofenadine (Allegra) would be more beneficial than diphenhydramine (Benadryl) because Allegra:
a. is inexpensive.
b. contains a stimulant for an energy boost.
c. does not dry out the mucous membranes.
d. does not induce drowsiness.
Question 2Which person is most at risk for a hypersensitivity reaction?
a. 26-year-old receiving his second desensitization injection
b. 35-year-old starting back on birth control tablets
c. The 52-year-old started on a new series of Pyridium for cystitis
d. The 84-year-old receiving penicillin for an annually recurring respiratory infection
Question 3Immediately after the nurse administers an intradermal injection of a suspected antigen during allergy testing, the patient complains of itching at the site, weakness, and dizziness. Which action by the nurse is most appropriate initially?
a. Elevate the arm above the shoulder
b. Administer subcutaneous epinephrine
c. Apply a warm compress to area
d. Apply a local anti-inflammatory cream to the site
Question 4What is the substance released by the T cells that stimulates the lymphocytes to attack an inflammation?
a. Lymphokine
b. Epinephrine
c. B cells
d. Histamine
Question 5A 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 indicating my allergy to insect stings.
d.
I will need to take maintenance doses of corticosteroids to prevent reactions to further stings.
Question 6What would the nurse recommend for a 94-year-old home health patient with deteriorated cell-mediated immunity?
a. Avoiding the influenza vaccine
b. Getting pneumonia vaccine
c. Having skin tests for all antigens
d. Taking large doses of beta-carotene
Question 7How does normal aging change the immune system?
a. Depresses bone marrow
b. T cells become hyperactive
c. B cells show deficiencies in activity
d. Increase in the size of the thymus
Question 8The nurse takes into consideration that when the antigen and antibody react, the complement system is activated which:
a. toughens the cell wall.
b. generates more T cells.
c. attracts phagocytes.
d. makes the antigen resistant.
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