Chapter 38: PrepU - Nursing Management: Patients With
Allergic Disorders
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
1- corticosteroids.
2- avoidance of latex-based products.
3- antihistamines.
4- epinephrine from an emergency kit. 2A clinic nurse has been charged with the
responsibility of teaching avoidance strategies to an adult patient who has allergic
rhinitis. What measure should the nurse recommend to this patient?
1- "Make sure that there are never air drafts in your home."
2- "Avoid the use of air conditioning whenever possible."
3- "If possible, make sure that no one smokes tobacco in your home."
4- "Keep your windows open to ensure adequate air circulation." 3A client calls the clinic
and asks the nurse if using oxymetazoline nasal spray would be alright to relieve the
Allergic Disorders
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
1- corticosteroids.
2- avoidance of latex-based products.
3- antihistamines.
4- epinephrine from an emergency kit. 2A clinic nurse has been charged with the
responsibility of teaching avoidance strategies to an adult patient who has allergic
rhinitis. What measure should the nurse recommend to this patient?
1- "Make sure that there are never air drafts in your home."
2- "Avoid the use of air conditioning whenever possible."
3- "If possible, make sure that no one smokes tobacco in your home."
4- "Keep your windows open to ensure adequate air circulation." 3A client calls the clinic
and asks the nurse if using oxymetazoline nasal spray would be alright to relieve the
