A patient who is receiving immunotherapy has just received an ...

[anshika]

A patient who is receiving immunotherapy has just received an allergen injection. Which assessment finding is most important to communicate to the health care provider?
 
  a. The patient's IgG level is increased.
  b. The injection site is red and swollen.
  c. The patient's allergy symptoms have not improved.
  d. There is a 2-cm wheal at the site of the allergen injection.

Question 2

A nurse has obtained donor tissue typing information about a patient who is waiting for a kidney transplant. Which results should be reported to the transplant surgeon?
 
  a. Patient is Rh positive and donor is Rh negative
  b. Six antigen matches are present in HLA typing
  c. Results of patient-donor cross matching are positive
  d. Panel of reactive antibodies (PRA) percentage is low

[nathang24]

Answer to Question 1

ANS: D
A local reaction larger than quarter size may indicate that a decrease in the allergen dose is needed. An increase in IgG indicates that the therapy is effective. Redness and swelling at the site are not unusual. Because immunotherapy usually takes 1 to 2 years to achieve an effect, an improvement in the patient's symptoms is not expected after a few months.

Answer to Question 2

ANS: C
Positive crossmatching is an absolute contraindication to kidney transplantation, since a hyperacute rejection will occur after the transplant. The other information indicates that the tissue match between the patient and potential donor is acceptable.