Author Question: A nurse is caring for a client with seasonal hypersensitivity reactions. What teaching would the ... (Read 181 times)

erika · **on:** Jun 25, 2018

A nurse is caring for a client with seasonal hypersensitivity reactions. What teaching would the nurse provide to improve this client's comfort?

Select all that apply.
A) Keep doors and windows open on high-allergen days to circulate air.
B) Remain indoors if possible on high-allergen days.
C) Maintain a clean, dust-free environment.
D) Take antihistamine and leukotriene medication as ordered.
E) Stop taking oral corticosteroids immediately once symptoms disappear.

Question 2

A nurse is caring for a client diagnosed with trachoma. When providing client education regarding this condition, the nurse will include which statements?

Select all that apply.
A) This condition is caused by Chlamydia trachomatis.
B) It is common in the United States.
C) It is the primary cause of preventable blindness worldwide.
D) Early symptoms include inflammation of the cornea.
E) The causative organism is usually Staphylococcus aureus.

stano32 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, C

A client with seasonal hypersensitivity should be educated regarding prevention and comfort measures. The nurse should instruct the client to keep doors and windows closed on high-allergen days and to remain indoors if possible. The nurse should also include teaching on maintaining a clean, dust-free environment. Medication instruction should include instruction on taking antihistamine and anti-leukotriene medication, not leukotriene. The client should also be instructed to taper oral corticosteroids as ordered, not to immediately stop taking them.

Answer to Question 2

Answer: A, C

Early manifestations of trachoma include redness, eyelid edema, tearing, and photophobia. Small conjunctival follicles develop on the upper lids. The inflammation also causes superficial corneal vascularization and infiltration with granulation tissue. Scarring of the conjunctival lining of the lid causes entropion (inversion of the eyelid). The lashes then abrade the cornea, eventually causing ulceration and scarring. The opacity of the scarred cornea results in loss of vision. This condition is caused by Chlamydia trachomatis, and is endemic in poor, undeveloped countries, especially where there are water shortages, numerous flies, and crowded living conditions. Trachoma is rarely seen in the United States except in Native Americans who live in the Southwest.