Immunity- 6 questions DONE

Question 1

Recognizing clinical presentations of an IgE-mediated reaction

Answer 1

Immediate

Allergic rhinitis
Angioedema
Asthma
Atopic dermatitis
Urticaria
wheel and flare

Question 2

Recognizing clinical presentations of an anaphylactic reaction

Answer 2

Hives/urticaria,
Angioedema
Rhinitis/asthma
Nausea, vomiting, cramping diarrhea
Pruritis
erythema

Respiratory distress can lead to cardiac arrest

Question 3

Planning appropriate interventions for a client with an anaphylactic reaction

Answer 3

1.Recognize cues of an anaphylactic action

2.Maintaining a patent airway

3.Establish IV access

4.Administer drugs as ordered:
-Epinephrine (IM, IV, or subcut)
-If IM, give mid-outer thigh
-High flow O2 (8-10 L/min) via facemask
-Nebulized albuterol for bronchospasm
-IV diphenhydramine for hives & itching
-IV corticosteroids

5. Treating hypovolemic shock

Question 4

Developing an individual teaching plan for a client with allergens causing an anaphylactic reaction

Answer 4

Fill Rx at once and keep at least 2 doses available

Always keep at least 1 auto injector w/ you

Keep an autoinjector in a place where others can easily find it in case of an emergency

Mark on a calendar when the autoinjector expires

Use device if you have any cues of anaphylaxis
(trouble breathing or feeling tightness in the throat, or lightheaded)

*When needed:
oInject into top of the thigh,
Hold in place for 2-3 minutes.
Avoid pockets and seams

After use, call 911 and get to the nearest hospital for monitoring. Take autoinjector w/ you

Question 5

Recognizing clinical presentations of rheumatoid arthritis

Answer 5

Fatigue

Anorexia

Weight loss

General stiffness, limited motion

Cues of inflammation (warmth, swelling, pain)

Joint stiffness after periods of inactivity, esp. Morning stiffness

Joints are tender, painful, and warm to the touch

May cause irreversible deformity and disability

–Typical deformities
Ulnar drift
Hallux valgus
Boutonniere
Swan neck

Question 6

Developing an individual teaching plan for a client with systemic lupus erythematosus (SLE)

Answer 6

increase patient involvement in self-care

Help patient understand that adherence to treatment is no guarantee against flares

Avoid factors that increase disease activity (stress, fatigue, sun exposure, infection, certain drugs, surgery)

Explain treatments and all diagnostic procedures

Teach patient about drug therapy

Disease process

Using sunscreen daily

Energy conservation and activity prioritization

Up to date on immunizations

Help patient understand that abruptly stopping a drug may worsen disease activity