The nurse is providing a class for a group of childcare ...

[Haya94]

The nurse is providing a class for a group of childcare providers. When discussing allergic reactions, which statement by a participant indicates the need for further instruction?
 
  A) Most allergic reactions will happen within a few minutes of eating a problematic food.
  B) If a child has previously eaten a food and not had a reaction they are not 'truly' allergic to it.
  C) Allergic reactions can happen hours after eating something.
  D) In addition to hives some children may also have vomiting and diarrhea when having an allergic reaction to a food.

Question 2

A child with systemic lupus erythematosus is receiving high-dose corticosteroid therapy over the long term. The nurse would instruct the parents and child to report:
 
  A) difficulty urinating.
  B) visual changes.
  C) joint pain.
  D) rash.

[Sarahjh]

Answer to Question 1

Ans: B
Previous exposure with no incident does not mean an individual cannot develop a hypersensitivity to a food or other substance. An allergy may develop at any time. The remaining statements are correct.

Answer to Question 2

Ans: C
Avascular necrosis (lack of blood supply to a joint, resulting in tissue damage) may occur as an adverse effect of long-term or high-dose corticosteroid use. Teach families to report new onset of joint pain, particularly with weight bearing, or limited range of motion. Complications of systemic lupus erythematosus include nephritis manifested by urinary changes and visual changes. Rash may develop secondary to photosensitivity. These are unrelated to the long-term or high-dose corticosteroid use.