Infection/Immunity Case Study Analysis
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Questions and Answers

What is the most likely cause of Allie's symptoms?

  • Allergic reaction to seafood (correct)
  • Asthma exacerbation
  • Viral infection
  • Food poisoning
  • What type of hypersensitivity reaction is Allie experiencing?

  • Type IV hypersensitivity
  • Type II hypersensitivity
  • Type I hypersensitivity (correct)
  • Type III hypersensitivity
  • Which immunoglobulin is primarily involved in Allie's reaction?

  • IgE (correct)
  • IgD
  • IgG
  • IgA
  • What is a potential exposure that could trigger a similar reaction in Allie in the future?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following interventions is NOT a priority in the initial management of Allie's condition?

    <p>Performing a full physical examination (C)</p> Signup and view all the answers

    What medication is NOT typically used in the management of Allie's condition?

    <p>Antifungal medications (A)</p> Signup and view all the answers

    Which nursing diagnosis is LEAST appropriate for Allie in this scenario?

    <p>Risk for Falls (B)</p> Signup and view all the answers

    What type of immunity is the provider attempting to induce in Allie by exposing her to allergens in a controlled environment?

    <p>Active acquired immunity (A)</p> Signup and view all the answers

    Flashcards

    Hypersensitivity Reaction

    An exaggerated immune response to a foreign substance.

    IgE Immunoglobulin

    The antibody primarily involved in allergic reactions.

    Urticaria

    The medical term for hives, raised and itchy welts on the skin.

    Impaired Gas Exchange

    A nursing diagnosis indicating problems in breathing and oxygen transfer.

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    Epinephrine Role

    Medication used to treat severe allergic reactions by opening airways.

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    Passive Acquired Immunity

    Immunity gained from antibodies received from another source.

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    Anxiety Related to Health

    Feelings of worry about a health condition or symptoms.

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    Tachycardia

    An abnormally fast heart rate, often exceeding 100 bpm.

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    Study Notes

    Infection/Immunity Case Study

    • Patient: Allie Ergy, 28-year-old female
    • Medical History: No known allergies or chronic medical conditions
    • Chief Complaint: Difficulty breathing, hives, lightheadedness, and dizziness
    • Presenting Symptoms: Difficulty breathing, generalized hives (urticaria), swelling of lips and tongue, dizziness, lightheadedness, anxiety, and restlessness
    • Background Information: Eaten seafood 30 minutes prior to symptom onset. Patient reports never having experienced a similar reaction before.
    • Assessment Findings: Tachycardia (heart rate: 120 bpm), increased respiratory rate (32 breaths per minute), blood pressure: 90/60 mmHg, oxygen saturation: 92% on room air, labored breathing with audible wheezing, periorbital and facial swelling, diffuse erythematous hives covering the entire body.
    • Nursing Diagnosis: Impaired gas exchange related to airway obstruction and respiratory distress, Risk for ineffective tissue perfusion related to decreased blood pressure and potential shock, Anxiety related to perceived threat to life and unfamiliar symptoms.
    • Plan of Care Priorities: Ensure patent airway, continuous cardiac and oxygen saturation monitoring, administer medications (epi-pen, steroids, antihistamine), collaborative interventions, psychosocial interventions.
    • Discharge Plan: Controlled exposure to allergens to prevent future reactions, an example of passive acquired immunity.

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    Description

    This quiz focuses on a detailed case study of a 28-year-old female patient experiencing severe allergic reactions and respiratory distress. It evaluates the symptoms, assessment findings, and nursing diagnoses based on her medical history and recent seafood consumption. Test your knowledge on infection and immunity concepts through this real-world medical scenario.

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