N4 test Autoimmunity

Ignatavicius & Workman: Medical-Surgical Nursing: Critical Thinking for Collaborative Care, 4th Edition

Self-Assessment Questions

Chapter 23: Interventions for the Client with Immune Function Excess:
Hypersensitivity (Allergy) and Autoimmunity


1. Which statement regarding autoimmunity is true?

A. Autoimmunity and immunodeficiency have the same pathologic basis.
B. Clients with autoimmune conditions are unable to recognize invaders as nonself.
C. Clients with autoimmune conditions have lost the process of self-tolerance in one or more tissues.
D. Clients who have autoimmune reactions have a decreased immune response and are more susceptible to infection.

2. The client having an intravenous injection of contrast dye for a test (intravenous pyelogram) starts to have angioedema, skin wheals, and difficulty breathing. What is your best first action?

A. Administer oxygen by mask.
B. Stop the infusion of the dye.
C. Notify the emergency team.
D. Prepare an injection of epinephrine.

3. The client undergoing skin testing for allergy assessment has a negative response to the histamine control. What is your interpretation of this result? The:

A. client has severe allergies/hypersensitivities.
B. client does not have any allergies/hypersensitivities.
C. client should be monitored for an anaphylactic reaction.
D. client’s degree of hypersensitivity cannot be determined by this response.

4. Which problem or condition demonstrates a type-VI hypersensitivity reaction?

A. Anaphylaxis
B. Serum sickness
C. Positive PPD test
D. Transfusion with the improper blood type

5. Which precaution/instruction is most important for the client with allergic rhinitis who has been prescribed to use cromolyn sodium therapy?

A. “Keep the medication with you at all times so that you can use it during an rhinitis episode.”
B. “Use this medication daily even when you are having no symptoms.”
C. “Discontinue this medication if insomnia or diarrhea occur.”
D. “Be sure to take this medication with food.”