Chapter 51

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Chapter: Chapter 51: Management of Patients With Immunodeficiency

Multiple Choice

1. A healthy high school athlete is diagnosed with fever and cellulitis of the right knee. The infection is resistant to oral antibiotics. He then develops osteomyelitis of the right knee. If untreated, the infection could result in
A) Severe neutropenia
B) Decrease white blood cells
C) Normal creatinine clearance
D) A fungal infection

Ans: A
Chapter: 51
Client Needs: A-2
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 1
Page and Header: 1562, Phagocytic Dysfunction

Feedback: Patients with phagocytic cell disorders may develop severe neutropenia. With the onset of neutropenia the white blood cell count increases and the creatinine clearance decreases. The patient may be prone to a fungal infection but will not present with cellulitis and osteomyelitis.

2. A patient is admitted with an immunologic problem and IV gamma-globulin is ordered. What should the nurse monitor for as a potential side effect of IV gamma-globulin?
A) Anaphylactic reaction
B) Hypertension
C) Hypothermia
D) Joint pain

Ans: A
Chapter: 51
Client Needs: D-2
Cognitive Level: Application
Difficulty: Moderate
Integrated Process: Nursing Process
Objective: 2
Page and Header: 1563, Phagocytic Dysfunction

Feedback: Potential side effects of an IV gamma-globulin infusion include hypotension, flank pain, chills, and tightness in chest, terminating with a slightly elevated body temperature and anaphylactic reaction. Hypertension, hypothermia, and joint pain are not usual side effects of