Author Question: A patient who collects honey to earn supplemental income has developed a hypersensitivity to bee ... (Read 59 times)

viki · **on:** Jun 25, 2018

A patient who collects honey to earn supplemental income has developed a hypersensitivity to bee stings. Which statement, if made by the patient, would indicate a need for additional teaching?

a. I need to find another way to earn extra money.
b. I will get a prescription for epinephrine and learn to self-inject it.
c. I will plan to take oral antihistamines daily before going to work.
d. I should wear a Medic-Alert bracelet indicating my allergy to bee stings.

Question 2

An older adult patient who is having an annual check-up tells the nurse, I feel fine, and I don't want to pay for all these unnecessary cancer screening tests Which information should the nurse plan to teach this patient?

a. Consequences of aging on cell-mediated immunity
b. Decrease in antibody production associated with aging
c. Impact of poor nutrition on immune function in older people
d. Incidence of cancer-stimulating infections in older individuals

miss.ashley · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Because the patient is at risk for bee stings and the severity of allergic reactions tends to increase with added exposure to allergen, taking oral antihistamines will not adequately control the patient's hypersensitivity reaction. The other patient statements indicate a good understanding of management of the problem.

Answer to Question 2

ANS: A
The primary impact of aging on immune function is on T cells, which are important for immune surveillance and tumor immunity. Antibody function is not affected as much by aging. Poor nutrition can also contribute to decreased immunity, but there is no evidence that it is a contributing factor for this patient. Although some types of cancer are associated with specific infections, this patient does not have an active infection.