NURS 325 Chapter 38: PrepU - Nursing Management: Patients With Allergic Disorders

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A nurse is preparing a discharge teaching plan for a client with atopic dermatitis. Which instruction should the nurse include in the teaching plan? 1- Wear only synthetic fabrics. 2- Use a topical... skin moisturizer daily. 3- Bathe only three times per week. 4- Keep the thermostat above 75° F (23.9° C). 2Which intervention is the single most important aspect for the client at risk for anaphylaxis? 1- Use of antihistamines 2- Desensitization 3- Wearing a medical alert bracelet 4- Prevention 4A patient has developed severe contact dermatitis with burning, itching, cracking, and peeling of the skin on her hands. What should the patient be instructed to do? 1- Wear powdered latex gloves. 2- Wash her hands with antibacterial soap. 3- Maintain the room temperature at 80°F. 4- Keep her hands well moisturized. 4A patient comes to the clinic with pruritus and nasal congestion after eating shrimp for lunch. The nurse is aware that the patient may be having an anaphylactic reaction to the shrimp. These symptoms typically occur within how many hours after exposure? 1- 2 hours 2- 6 hours 3- 12 hours 4- 24 hours 1A client has had a "stuffy nose" and obtained an oxymetazoline nasal spray. What education should the nurse provide to the client in order to prevent "rebound congestion"? 1- Be sure to use the nasal spray for at least 10 days to ensure the stuffiness is gone. 2- Use the medication every 4 hours to prevent congestion from recurring. 3- Drink plenty of fluids. 4- Only use the nasal spray for 3 to 4 days once every 12 hours. 4A client presents at the clinic with an allergic disorder. The client asks the nurse what an "allergic disorder" means. What would be the nurse's best response? 1- "It means you are very sensitive to something inside of yourself." 2- "It is a hyperimmune response to something in the environment that is usually harmless." 3- "It is a muted response to something in the environment."4- "It is a harmless reaction to something in the environment." 2A patient with severe environmental allergies is scheduled for the first in a planned series of immunotherapy injections. What should be included in teaching the patient about the injection? 1- The injection will cure the response to the allergen within 6 to 8 weeks. 2- The patient will remain in the clinic to be monitored for 30 minutes following the injection. 3- Therapeutic failure occurs if the symptoms to the allergen do not decrease after 3 months. 4- Injections are usually administered twice weekly. 2The nurse is planning the care of an 8-year-old boy who has been diagnosed with atopic dermatitis. In the boy's plan of nursing care, what nursing diagnosis should the nurse prioritize? 1- Acute pain related to atopic dermatitis 2- Risk for delayed development related to atopic dermatitis 3- Risk for impaired skin integrity related to atopic dermatitis 4- Chronic pain related to atopic dermatitis 3A patient asks the nurse if it would be all right to take an over-the-counter antihistamine for the treatment of a rash. What should the nurse educate the patient is a major side effect of antihistamines? 1- Diarrhea 2- Anorexia 3- Palpitations 4- Sedation 4The nurse is administering a sympathomimetic drug to a patient. What areas of concern does the nurse have when administering this drug? (Select all that apply.) 1- Causes bronchodilation 2- Constricts integumentary smooth muscle 3- Dilates the muscular vasculature 4- Causes bronchoconstriction 5- Causes laryngospasm 1,2,3The best treatment for latex allergy is [Show More]

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