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Assessment and Management of Patients With Allergic Disorders
Assessment and Management of Patients With Allergic Disorders
1. Antibodies, the most effective defense mechanisms in the body, react with antigens, in three ways:
, and
.
2. The classification of immunoglobulin (Ig) that occupies certain receptors on mast cells and produces an
inflammatory response is .
3. Antibodies formed by lymphocytes and plasma cells in response to an immunogenic stimulus are called
.
4. Prostaglandins are primary chemical mediators that respond to a stimulus by contracting smooth muscle
and increasing capillary permeability. This response causes .
5. Type III hypersensitivity reactions involve the binding of antibodies to antigens. List two possible
results: and .
6. Two examples of a type IV hypersensitivity reaction (occurs 24 to 72 hours after exposure) are
and .
7. The most common cause of anaphylaxis, accounting for 75% of fatal reactions in the United States, is
.
1. What happens during the physiologic response that causes an allergic reaction?
5. What is the difference between an atopic and nonatopic IgE-mediated allergic reaction?
8. What are the four types of contact dermatitis and how are they recognized?
Activity C. Match the medication in Column II with the antagonist or inhibitor in Column I.
Column I Column II
Caloy is a 26-year-old contractor who specializes in finished basements and suffers from allergies related to
materials used. Because of his job, he is frequently working in environments where there are substances that
stimulate an allergic reaction.
1. The nurse is educating Caloy on how he can recognize symptoms that indicate an onset of an
allergic reaction. An allergic reaction may be preceded by what symptoms?
2. What does the nurse inform Caloy may signal a more severe form of allergic reaction?
3. What would the nurse include in the teaching plan regarding Caloy’s allergies?
Mindy, a new student in a nursing program, is beginning her first clinical rotation at the hospital. She and
another student are giving a patient a bath, wearing latex gloves, when Mindy informs the other student that she
is itching on both of her hands. When the gloves are removed, Mindy has erythema covering both hands.
3. Mindy asks her instructor if it would help if she used lotion prior to donning gloves. What should the
instructor inform her?
4. What types of testing can Mindy receive that will give her a definitive diagnosis of latex energy?
Source:
Hinkle, J.L. & Cheever, K.H. (2018). Brunner & Suddarth's Textbook of Medical-Surgical Nursing (14th ed.).
Philadelphia: Wolters Kluwer.