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A client received a bee sting on the lip approximately 2 hours ago and has arrived at an urgent/walk-in clinic for treatment because the swelling is now accompanied by nasal congestion. On assessment, the client reports pruritus and a sensation of warmth at the site. Which degree of anaphylaxis is the client experiencing?

Mild systemic reaction

A client with a family history of allergies has experienced an allergic response based on a genetic predisposition. This atopic response is usually mediated by which immunoglobulin (Ig)?

IgE

An office worker eats a cookie that contains peanut butter. The worker begins wheezing, with an inspiratory stridor and air hunger, and the occupational health nurse is called to the office. The nurse should recognize that the worker is likely suffering from which type of hypersensitivity?

Anaphylactic (type 1)

A client is learning about a new diagnosis of asthma with the asthma nurse. What medication will best prevent the onset of acute asthma exacerbations?

Montelukast

A nurse is preparing a client for allergy skin testing. What precautionary step is most important for the nurse to follow?

Emergency equipment should be readily available.

A client is scheduled for a skin test. The client informs the nurse that the client used a corticosteroid earlier today to alleviate allergy symptoms. Which nursing intervention should the nurse implement?

Cancel and reschedule the skin test when the client stops taking the corticosteroid.

A client has developed severe contact dermatitis with burning, itching, cracking, and peeling of the skin on the client’s hands. What should the nurse teach the client to do?

Keep the hands well moisturized at all times.

A client with severe environmental allergies is scheduled for an immunotherapy injection. What should be included in teaching the client about this treatment?

The client will remain in the clinic to be monitored for 30 minutes following the injection.

The nurse in an allergy clinic is educating a new client about the pathology of the client's health problem. What response should the nurse describe as a possible consequence of histamine release?

Contraction of bronchial smooth muscle

The nurse is providing care for a client who has experienced a type I hypersensitivity reaction. Which client would have this type of reaction?

A client with an anaphylactic reaction after a bee sting

A nurse is caring for a client who has had an anaphylactic reaction after a bee sting. The nurse is providing client teaching prior to the client's discharge. In the event of an anaphylactic reaction, the nurse explains that the client should self-administer epinephrine at which site?

Thigh

A nurse has included the nursing diagnosis of Risk for Latex Allergy Response in a client's plan of care. The presence of which chronic health problem would most likely prompt this diagnosis?

Spina bifida

A client has been diagnosed with Stevens-Johnson syndrome. Which factors are common triggers of this condition? Select all that apply.

A. Tamoxifen and vemurafenib

B. Exposure to cold objects, cold fluids, or cold air

C. Allopurinol and nevirapine

D. Wearing clothing washed in a detergent

E. Radiation in combination with phenytoin

Tamoxifen and vemurafenib, Allopurinol and nevirapine, Radiation in combination with phenytoin

A client is undergoing testing for food allergies after experiencing unexplained signs and symptoms of hypersensitivity. Which food items would the nurse inform the client are common allergens?

Eggs and wheat

A client has been admitted to the emergency department with signs of anaphylaxis following a bee sting. The nurse knows that if this is a true allergic reaction the client will present with what alteration in laboratory values?

Increased eosinophils

A nurse should prioritize and closely monitor a client for a potentially severe anaphylactic reaction after the client has received which medical intervention?

Computed tomography with contrast solution

After the completion of testing, a 7-year-old client’s allergies have been attributed to the family's cat. When introducing the family to the principles of avoidance therapy, the nurse should promote which action?

Removing the cat from the family's home

The nurse is providing health education to the parents of a 3-year-old who has been diagnosed with food allergies. Which statement should the nurse make when teaching this family about the child's health problem?

"Many children outgrow their food allergies in a few years if they avoid the offending foods.”

A 5-year-old has been diagnosed with a severe walnut allergy after experiencing an anaphylactic reaction. Which topic is the nurse's priority when providing health education to the family?

Carrying an epinephrine pen

A client's history of skin hyperreactivity and inflammation has been attributed to atopic dermatitis. The nurse should recognize that this client consequently faces an increased risk of which health problem?

Asthma

The nurse is planning the care of a client who has a diagnosis of atopic dermatitis, which commonly affects both of her hands and forearms. What risk nursing diagnosis should the nurse include in the client's care plan?

Risk for disturbed body image related to skin lesions

A client has been brought to the emergency department after being found unresponsive, and anaphylaxis is suspected. The care team should attempt to assess for which potential causes of anaphylaxis? Select all that apply.

A. Foods

B. Medications

C. Insect stings

D. Autoimmunity

E. Environmental pollutants

Foods, Medications, Insect stings

A school nurse is caring for a 10-year-old who appears to be having an allergic response. Which intervention should be the initial action of the school nurse?

Assess for signs and symptoms of anaphylaxis.

A client is receiving a transfusion of packed red blood cells. Shortly after initiation of the transfusion, the client begins to exhibit signs and symptoms of a transfusion reaction. The client is suffering from which type of hypersensitivity?

Cytotoxic (type II)

Which of the following individuals would be the most appropriate candidate for immunotherapy?

A client with severe allergies to grass and tree pollen

A nurse has asked the nurse educator if there is any way to predict the severity of a client's anaphylactic reaction. Which response by the nurse educator would be best?

"The faster the onset of symptoms, the more severe the reaction."

A nurse knows of several clients who have achieved adequate control of their allergy symptoms using over-the-counter antihistamines. Antihistamines would be contraindicated in the care of which client?

A client who is at 30 weeks' gestation

A client has been living with seasonal allergies for many years, but does not take antihistamines, stating, "When I was young, I used to take antihistamines, but they always put me to sleep." How should the nurse best respond?

“The newer antihistamines are different than in years past, and cause less sedation."

A client has been transported to the emergency department after a severe allergic reaction. How should the nurse evaluate the client's respiratory status? Select all that apply.

A. Facilitate lung function testing

B. Assess breath sounds

C. Measure the client’s oxygen saturation by oximeter

D. Monitor the client’s respiratory pattern

E. Assess the client’s respiratory rate

Assess breath sounds, Measure the client’s oxygen saturation by oximeter, Monitor the client’s respiratory pattern, Assess the client’s respiratory rate.

A client with multiple food and environmental allergies expresses frustration and anger over having to be so watchful all the time and wonders if it is really worth it. Which response by the nurse would be best?

"I can only imagine how you feel. Would you like to talk about it?"

A nurse at an allergy clinic is providing education for a client starting immunotherapy for the treatment of allergies. Which education should the nurse prioritize?

Keeping appointments for desensitization procedures

A client has presented with signs and symptoms that are consistent with contact dermatitis. Which aspect of care should the nurse prioritize when working with this client?

Identifying the offending agent, if possible

A client was prescribed an oral antibiotic for the treatment of sinusitis. The client has now stopped, reporting the development of a rash shortly after taking the first dose of the drug. Which response by the nurse would be most appropriate?

Refer the client to a primary care provider to have the medication changed.

A client has sought care, stating that the client developed hives overnight. The nurse's inspection confirms the presence of urticaria. What type of allergic hypersensitivity reaction has the client developed?

Type I

The nurse is providing care for a client who has a diagnosis of hereditary angioedema. When planning this client's care, what nursing diagnosis should be prioritized?

Risk for impaired gas exchange related to airway obstruction

A junior nursing student is having an observation day in the operating room. Early in the day, the student reports eye swelling and dyspnea to the OR nurse. What should the nurse suspect?

Anaphylaxis due to a latex allergy

A nurse is caring for a client who has allergic rhinitis. What intervention would be most likely to help the client meet the goal of improved breathing pattern?

Modify the environment to reduce the severity of allergic symptoms.

The nurse is creating a care plan for a client suffering from allergic rhinitis. What outcome should the nurse identify?

Improved coping with lifestyle modifications

A 5-year-old client has been diagnosed with a severe food allergy. Which instruction should the nurse include when educating the parents about this client’s allergy and care?

Wear a medical identification bracelet.