What nursing diagnosis should be incorporated into the plan of care for a pt with anaphylaxis?

Risk for ineffective gas exchange

What is myasthenia gravis?

Antibodies block or destroy muscle receptor sites

What are the common bacterias responsible for health care-associated infections?

E. coli, S. aureus, enterobacter aerogenes, streptococci

The nurse is alerted to possible anaphylactic shock immediately after a pt received IM penicillin by the development of?

Edema + itching at injection site

What would pharyngeal edema cause?

Throat closing, which impedes airway

What a purpose of plasmapheresis?

Remove plasma containing components that cause disease

When would contact + isolation precautions end for a pt with MRSA?

After 3 or more negative surveillance tests

What causes autoimmunity?

Antibodies + autosensitized T cells destroy tissue

What are common infections found within gerontologic pts?

Pneumonia, UTI, skin infections, TB

When would a cell-mediated response occur?

Within 24-72 hours after expose

Which is not an appropriate action when caring for a pt with C. diff?

Continuing the causative antibiotic

What does CLABSIs stand for?

Central line associated bloodstream infections

In a type I hypersensitivity reaction, the primary immunologic disorder appears to be what?

Release of chemical mediators from IgE-bound mast cells + basophils

What are the symptoms of systemic anaphylaxis?

Smooth muscle contraction, vasodilation, edema, bronchochonstriction

What is the issue that causes autoimmunity?

Body makes antibodies against normal cells + tissue

If a pt has a mild latex allergy, what would the nurse anticipate being ordered?

Antihistamines + steroid creams

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Immunity

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Answers

1
What nursing diagnosis should be incorporated into the plan of care for a pt with anaphylaxis?
Knowledge deficit: prevention + treatment of anaphylaxis
Pain related to bronchospasm
Risk for ineffective gas exchange
Risk for hyperventilation related to anxiety
2
What is myasthenia gravis?
The girl who side eyed you at Burger King
Muscle tissue becomes inflamed from immune attacks
Antibodies block or destroy muscle receptor sites
Antibodies attack muscle cells, causing muscle loss
3
What may a watery diarrhea indicate?
C. diff
VRE
MRSA
Risk for constipation
4
What food cannot cause a latex-food syndrome reaction?
Kiwi + tomato
Chestnut, hazelnut, guava
Banana + avocado
Carrot + watermelon
5
Which drug does not cause photosensitivity?
Ciprofloxacin
Cefazolin
Doxycycline
Bactrim
6
Which is an immediate + humoral allergic reaction?
Type III
Type II
Type I
Type IV
7
Glomerulonephritis, anaemia, leukopenia, thrombocytopenia, impaired oxygenation are complications of what?
Type I
Type II
Type IV
Type III
8
A pt taking H2 blockers or a PPI is at risk for a C. diff infection
True
False
9
What are the common bacterias responsible for health care-associated infections?
C. diff, S. aureus, E.coli, streptococci
E. coli, S. aureus, enterobacter aerogenes
C. diff, E.coli, enterobacter aerogenes
E. coli, S. aureus, enterobacter aerogenes, streptococci
10
What are antibodies made in response to?
Antigens
Allies
Cells
Antibodies
11
Clostridioides Difficle (C. diff) is an antibiotic-associated diarrhea
False
True
12
Which aspect of a latex allergy causes hives?
Type V
Type IV
Type I + type IV
Type I
13
Which immunoglobulin is responsible for the hypersensitivity reaction Type I?
IgE
IgG
IgM
IgA
14
Inflammation can cause which condition?
Erythroblastosis
Blood transfusion reaction
Goodpasture's syndrome
Myasthenia gravis
15
What types of immunity are cell mediated?
I
IV
I, IV
I, II, III
16
Which reaction causes a continuous turned-on state for the cell?
Type IV
Type V
Type II
Type III
17
Which types of immunity have a delayed reaction?
IV
I, IV
I
I, II, III
18
The nurse is alerted to possible anaphylactic shock immediately after a pt received IM penicillin by the development of?
Edema + itching at injection site
Chest tightness + production of thick sputum
Sneezing + itching at injection site
Wheal-and-flare reaction at injection site
19
What would pharyngeal edema cause?
Blocked airway from vasodilation of surrounding tissues
Throat swelling
Throat closing, which impedes airway
Throat itchy
20
Which types of immunity are cell mediated?
I, II, III
I, IV
I
IV
21
What does Active Surveillance Testing (AST) screen for?
VRE
C. diff
HAI
MRSA
22
What a purpose of plasmapheresis?
To sperate WBCs to determine the amounts of each
To separate components of plasma + remover one or more components
Remove plasma containing components that cause disease
To separate components of the blood + remove one or more components
23
When would contact + isolation precautions end for a pt with MRSA?
After 3 or more negative surveillance tests
When they test negative
After 3 days
When diarrhea stops
24
What causes autoimmunity?
Antibodies + macrophages
Antibodies + autosensitized T cells destroy tissue
Nk cells
T cells, Nk cells, viruses
25
Which type involves antigen-antibody complexes being deposited in tissue + small blood vessels?
Type III
Type I
Type II
Type IV
26
What kind of precautions would a pt with influenza get
Contact
Isolation
Droplet
Airborne
27
What are common infections found within gerontologic pts?
UTI, skin infections, C.diff
Skin infections from breakdown, cancer, TB, UTI
Pneumonia, UTI, skin infections, TB
Superinfection, cancer, UTI
28
When would a cell-mediated response occur?
Within minutes of exposure
72-96 hours after expose
Within 24-72 hours after expose
Within 24 hours of exposure
29
Which is not an appropriate action when caring for a pt with C. diff?
Oral vancomycin for the initial episode of C. diff
Probiotics
Administering Dificid
Continuing the causative antibiotic
30
If your pt has a positive reaction to an intramural skin test what should you do next?
Epi IM
Epi IV
Epi SQ
Tourniquet
31
Which is not a complication of antimicrobial therapy?
Superinfections
Allergies
Cognitive decline
Organ damage
32
What type of reaction is antibody independent?
Type II
Type I
Type IV
Type III
33
What does CLABSIs stand for?
Catheter line associated bacterial infections
Cather line associated bloodstream infections
Central line associated bloodstream infections
Central line associated bacterial infections
34
Your pt has an increase of serum eosinophils, what type of reaction do you suspect?
Type I
Type II
Type IV
Type III
35
Eczema may worsen when doing immunotherapy
False
True
36
What type frame can contact dermatitis caused by latex allergy chemicals present in?
6-24 hours
Immediately-24 hours
1-24 hours
6-48 hours
37
In a type I hypersensitivity reaction, the primary immunologic disorder appears to be what?
Release of chemical mediators from IgE-bound mast cells + basophils
Deposit of antigen-antibody complexes in small vessels
Release of cytokines used to interact with specific antigens
Binding ot IgG to an antigen on a cell surface
38
What are the symptoms of systemic anaphylaxis?
Smooth muscle contraction, vasodilation, edema, bronchochonstriction
Vasodilation, edema, bronchodilation, sweating
Irregular muscle contraction, edema, bronchodilation
Edema, vasoconstriction, decreased vascular permeability
39
Which drug may require Vitamin K to stop bleeding caused by the drug?
Azithromycin
Ciprofloacin
Gentamycin
Cefaozolin
40
What method would be used to retrieve stem cells?
Apheresis
Spinal tap
Stem cell dive
Plasmapheresis
41
Your pt is starting to experience anaphylaxis, what is the nurse's first action?
Administer IV epi
Administer IM epi
Administer glucagon if pt is on beta blockers
Administer antihistamines + corticosteroids
42
Which drug should be taken either 1 hour before meals, or 2 hours after meals?
Doxycycline
Penicillins
Bactrim
Vancomycin
43
What is a positive reaction in a skin test?
No reaction
Wheal-and-flare
Itchy
Moderate swelling
44
What do cytotoxic + cytolytic reactions cause?
Cell destruction, inflammation
Anaphylaxis
Tissue atrophy, inflammation
Cell growth, inflammation
45
What is another word for health-care-acquired infections?
Socomial
Pathogens
Nonsocomial
CA
46
What is the issue that causes autoimmunity?
Body overproduces antibodies
Body makes antibodies for malignant cells
Body makes antibodies against normal cells + tissue
Body does not make antibodies
47
What category would an atopic reaction fall under?
Type III
Type I
Type IV
Type II
48
When in the process of plasmapheresis, which would not be appropriate to administer
Concentrated saltwater
Albumin
Plasma protein fractions
NS or LR
49
What kind of precautions would a pt with rubeola get
Airborne
Contact
Isolation
Droplet
50
If a pt has a mild latex allergy, what would the nurse anticipate being ordered?
Epi IV
Allergy exposure therapy
Oxygen, epi, corticosteriods IV
Antihistamines + steroid creams
51
What kind of precautions would a pt with TB get
Droplet
Airborne
Contact
Isolation
52
What is hyperthyroidism?
Graves disease, lack of hormones
Myasthenia gravis, heart issues + tachycardia
Myasthenia gravis, decreased metabolism
Graves disease, sped up metabolism + heart issues
53
A pt who is undergoing chemotherapy is at risk for a C. diff infection?
True
False
54
What does immunotherapy aim to increase?
IgG because it blocks IgE from binding to allergen
IgE because it blocks IgG from binding to allergen
IgG because it blocks IgM from binding to allergen
IgD because it blocks IgE from binding to allergen
55
What is systemic lupus erythematous (SLE)?
Autoimmune disease that only affects organs
Response to allergen
Autoimmune disease that causes damage of only some body areas
Autoimmune diesease that ultimately causes widespread damage + inflammation
56
Which drug can cause tendonitis?
Cefazolin
Ciprofloxacin
Gentamycin
Azithromycin
57
What causes Goodpasture's syndrome?
Lungs + kidneys do not have to right antibodies to protect themselves
Lungs + kidneys made their house out of hay instead of bricks
Lungs + kidneys die because of cell destruction
Antibodies attack lungs + kidneys causes inflammation, which causes etc
58
What drug can trigger lupus, an autoimmune disease?
Trianazone
Cephriaxone
Procainamide
Corticosteroids
59
What reaction would poison ivy fall under?
Type IV
Type III
Type II
Type I
60
What would cytotoxic + cytolytic reactions fall under?
Type I
Type II
Type III
Type IV
61
Which reaction causes a change in cell function, but not cell death?
Type III
Type V
Type IV
Type II
62
Which would not be used to help allergies?
Penicillin
Steriods
Antihistamines
Decongestants
63
When can delayed reactions for immunotherapy occur until?
1 hour
24 hours
48 hours
72 hours
64
Who is most at risk for a health care-associated infection? (2 correct answers)
Surgical pt
Septic pt
Bleeding pt
Immuncompromised pt
65
Describe the fundamentals of a latex allergy
Mixed type 1 (immediate) + type IV (delayed)
Mixed type I (immediate) + type V (delayed)
Mixed type IV (immediate) + type I (delayed)
Mixed type I (delayed) + type IV (immediate)
66
What would a perianal specimen be used to detect?
CA-MRSA
VRE
HA-MRSA
C. diff
67
What is the priority intervention to prevent the spread of MDR organisms?
Isolation precautions
Diagnostic cultures
Hand washing
Wii?
68
What is used to control allergic symptoms when drug therapy has not been effective?
Scratch test
Skin test
Epi
Immunotherapy
69
Systemic lupus erythematous (SLE) + Rheumatoid arthritis are complications of what?
Type I
Type II
Type IV
Type III
70
When would contact + isolation precautions end for a pt with C. diff?
After 3 days
After 3 or more negative surveillance tests
When they test negative
When diarrhea stops
71
What is the first sign of a fever in gerontologic pts?
Pain
Fever
Cognitive changes
Low body temperature
72
What regulates a type IV reaction?
Macrophages
Natural killer cells
Cytotoxic T cells
Cytotoxic B cells
73
A pt who has an NG tube is at risk for a C. diff infection
True
False
74
Cell-mediated immunity has a delayed reaction
True
False
75
What kind of precautions would a pt with pertussis get?
Airborne
Isolation
Droplet
Contact
76
What kind of precautions would a pt with MRSA get?
Contact
Droplet
Isolation
Airborne
77
What kind of precautions would a pt with VRE get?
Droplet
Isolation
Contact
Airborne
78
What kind of precautions would be put in place for a pt with C. diff?
Contact + reverse isolation
Isolation + droplet
Droplet + contact
Contact + isolation
79
Which aspect of a latex allergy causes contact dermatitis?
Type I
Type V
Type I + type IV
Type IV
80
What types of immunity is immediate and humoral?
I, II, III
I
I, IV
IV
81
What is the purpose of aphaeresis?
To sperate WBCs to determine the amounts of each
To separate components of plasma + remover one or more components
Remove plasma containing components that cause disease
To separate components of the blood + remove one or more components
82
After plasmapheresis, your pt reports a headache, tingles, and dizziness. What do you suspect?
Hypotension
Vasovagal syndrome
Volume deficit
Citrate toxicity
83
How soon will scratch test results be available?
Immediately
Within 24 hours
48-72 hours
5-10 minutes
84
The nurse is reviewing orders for a pt with C. diff, which requires follow up with the PCP?
Encouraging fluid intake
Probiotics
Imodium
PO Flagyl

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