Nursing Care for the Immune System

1. Diagnostic Tests

1.1. Complete blood count with differential

1.2. Protein electrophoresis

1.2.1. https://youtu.be/A9zDyb2awzM

1.3. T-cell and B-cell assays/counts

1.4. Enzyme-linked immunosorbent assay

1.4.1. ELISA test

1.4.1.1. HIV testing

1.5. Skin Tests

2. Nursing Management

2.1. Identify allergies

2.2. Utilize drug references to check Rx for hypersensitivities

2.2.1. Ex. Clients with allergies to penicillin may have cross-allergy to cephalosporins

2.3. Obtain written consent for HIV testing

2.4. Keep results of testing confidential

3. Health History

3.1. Immunizations

3.2. Any recent infections

3.3. Exposure to infectious agents

3.4. Allergies

3.5. Risk factors for contracting infectious diseases

3.5.1. Ex. occupational hazards

3.5.2. Sex practices

3.6. Drug history

3.6.1. Ex. Corticosteroids

3.6.1.1. Suppresses the client's immune system, increasing risk of infection

4. Physical Examination

4.1. Overall appearance of client

4.1.1. Appears ill? Malnourished? Fatigue?

4.2. Vitals and weight

4.3. Observe skin for rashes and lesions

4.4. Assess/Palpate abdomen for enlarged liver or spleen

4.5. Inspect pharynx for swollenness or drainage

4.6. Palpate lymph nodes for enlargement and tenderness