Question 1 of 9
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Which statement by the patient with lymphedema indicates understanding of the discharge information provided by the nurse?
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- “I should avoid elevating the affected body part.”Patients with lymphedema should elevate the affected extremity.
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- “I will avoid wearing tight clothing on the affected area.”Compression of the affected area is encouraged, usually with an elastic bandage.
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- “I need to take good care of my skin to prevent more issues.”Meticulous skin care should be performed for patients with lymphedema to prevent cellulitis.
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- “It will go away eventually, and I won’t have to worry about treating it anymore.”There is no cure for lymphedema, so treatment and management is lifelong.
Question 2 of 9
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Which statement by the patient newly diagnosed with Hodgkin lymphoma would indicate understanding of the diagnosis?
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- “This type of cancer is especially hard to cure.”Hodgkin lymphoma is one of the more curable forms of cancer if diagnosed and treated early.
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- “It is likely I got this cancer from some kind of infection.”Hodgkin lymphoma has been linked to prior infection.
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- “This cancer is very likely to spread to other parts of my body.”Hodgkin lymphoma is not likely to spread to other parts of the body.
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- “Eventually this cancer could start to affect my bone marrow.”Non-Hodgkin lymphoma may eventually begin to affect the bone marrow.
Question 3 of 9
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Which allergen exposure would the nurse suspect when caring for a patient who presented to the emergency department with red, itchy eyes, and rashes on both arms?
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- Being stung by an insectBeing stung by an insect often results in symptoms such as swelling at the injection site, bruising, and discoloration of the skin.
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- Taking care of a friend’s dogInhalation of pet dander often results in symptoms such as swelling of nasal mucosa, allergic rhinitis, and coughing.
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- Eating food with artificial coloringIngesting food with artificial coloring often results in symptoms such as abdominal pain, flatulence, and nausea.
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- Switching to a new laundry detergentExposure to a contactant allergen often results in symptoms such as red, itchy eyes and a rash.
Question 4 of 9
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Which patient statement indicates understanding of the procedure for a scheduled radioallergosorbent test (RAAST)?
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- “This will help determine if I have a food allergy.”RAAST is helpful for diagnosing true food allergies.
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- “The test results should come back within a day or two.”Test results can take several days to weeks.
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- “A needle will be used to scratch my skin during this test.”This description is true for a skin scratch test, not an RAAST.
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- “I will need to monitor for signs of allergic reaction during this test.”There is no change of an anaphylactic reaction with an RAAST.
Question 5 of 9
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Which information is important for the nurse to include in the discharge teaching for a patient prescribed diphenhydramine for an allergy to dust mites?
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- It is fine to drive while taking this medication.Patients taking diphenhydramine should not drive or operate other heavy machinery because this medication can cause drowsiness.
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- Monitor your blood pressure often when taking this medication.Antihistamines can aggravate hypertension, so it is important for the patient to monitor blood pressure often.
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- It is uncommon to have problems urinating while taking this medication.Urinary retention is a common side effect of diphenhydramine.
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- This medication works by reducing the inflammatory response during an allergic reaction.Antihistamines work by preventing the release of histamine during an allergic reaction. Antiinflammatory drugs works by reducing the inflammatory response during an allergic reaction.
Question 6 of 9
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Which intervention would the nurse expect to implement for the patient taking prednisone?
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- Monitor fluid and electrolyte status.Prednisone can alter the status of fluids and electrolytes, so it is important for the nurse to monitor these parameters.
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- Avoid taking the medication with juice.Fexofenadine should not be taken with fruit juice.
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- Be sure to take your medicine with food.Tripelennamine should be taken whole, with food.
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- Monitor for cardiac rate or rhythm changes.Clemastine can result in palpitations, so it would be important for the nurse to monitor these parameters if the patient were taking that medication.
Question 7 of 9
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Which statement, if made by the patient prescribed clemastine for an allergy, indicates an understanding of the medication?
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- “It is fine to drive while taking this medication.”Patient taking first-generation antihistamines should not drive because these medications often cause drowsiness.
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- “I will take this medication with a full glass of water.”Clemastine should be taken with a full glass of water.
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- “Palpitations are a normal side effect of this medication.”Palpitations or a change in heart rate with this medication should be reported to the provider immediately.
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- “I can’t take this medication because I have glaucoma.”Clemastine is not contraindicated for patients with glaucoma.
Question 8 of 9
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Which statement by the patient who was admitted for an allergic reaction indicates an understanding of the discharge information about allergen reduction? Select all that apply. One, some, or all responses may be correct.
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- “I need to take hot showers to prevent itching.”Warm environments and sweating increase the sensation of itching, so they should be avoided.
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- “I should set up a dehumidifier in my bathroom.”Dehumidifiers should be used to reduce moisture in areas that have water, such as in the bathroom.
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- “I will avoid using lotion to prevent itching from occurring.”Lotion should be applied to prevent itching.
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- “I will change the filter on my air conditioning when I get home.”High-quality air conditioner filters should be used to ensure adequate home ventilation.
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- “When I clean the house, I need to make sure I vacuum thoroughly.”The patient should ensure that the home is vacuumed thoroughly to remove any potential allergens from the carpet.
Question 9 of 9
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Which statement made by the nurse is important to include in the teaching for a patient taking high-dose steroids after an anaphylactic reaction to a bee sting? Select all that apply. One, some, or all responses may be correct.
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- “You will need to perform meticulous hand hygiene.”Patients on high-dose steroids are at increased risk for infection because of immunosuppression, so it is important for them to perform meticulous hand hygiene.
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- “It is fine to stop taking steroids when you feel better.”Steroids should never be stopped abruptly. They must be tapered to prevent side effects.
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- “Include foods in your diet that are high in potassium.”Steroids can cause an increased elimination of potassium, so the patient should be sure to include foods high in potassium in the diet.
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- “Do not take steroids with any kind of fruit juice.”It is fine to take steroids with fruit juice.
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- “Do not skip any doses of your antihypertensive medications.”Steroids can cause high blood pressure, so it is important for patients taking steroids to adhere to taking their antihypertensives as prescribed.