Nokea
A patient is admitted with a secondary immunodeficiency from chemotherapy. The nurse expects the plan of care to focus on which aspect?
- A. infection control.
- B. supporting self-care.
- C. nutritional education.
- D. maintaining high fluid intake.
Correct Answer: A
Rationale: Immune deficient persons are at risk for infection and need to be protected aggressively for contagion.
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The nurse recommends to the busy parent of three young children that the antihistamine fexofenadine would be more beneficial than diphenhydramine because fexofenadine has which quality?
- A. is inexpensive.
- B. contains a stimulant for an energy boost.
- C. does not dry out the mucous membranes.
- D. does not induce drowsiness.
Correct Answer: D
Rationale: Allegra does not induce drowsiness as does Benadryl.
A transfusion using blood from one?s own blood is a(n) ___ transfusion, which is the best defense against a transfusion reaction.
Correct Answer: autologous
Rationale: An autologous transfusion uses blood from one?s own body.
Because the older adult has decreased production of saliva and gastric secretions, they are at risk for which problem?
- A. mouth ulcers.
- B. fissures in corners of the mouth.
- C. gastrointestinal infections.
- D. bloating.
Correct Answer: C
Rationale: Deficient saliva and gastric secretions make the older adult prone to gastrointestinal infections.
Which disease results from one's own immune system attacking the body?
- A. Lupus erythematosus
- B. Scleroderma
- C. Polio
- D. Rheumatoid arthritis
- E. Thrombocytopenic purpura
- F. Osteoarthritis
Correct Answer: A,B,D,E
Rationale: Autoimmune diseases such as systemic lupus erythematosus, scleroderma, myasthenia gravis, thrombocytopenic purpura, rheumatoid arthritis, and Guillain-Barré syndrome are treated with plasmapheresis.
Which action will the nurse take when a patient is receiving increasing strength of the dose in the injections for immunotherapy?
- A. Observe the patient for at least 20 minutes after administration.
- B. Take the vital signs every 10 minutes for an hour.
- C. Have the patient lie down quietly for an hour.
- D. Place a warm compress on the area to speed its absorption.
Correct Answer: A
Rationale: The patient should be observed for 20 minutes after the increased dose of the allergen. If anaphylaxis is going to occur, it will do so within that time frame.