Alterations in Immunity

Case Study Donna, a twenty-one-year-old nursing student, comes to her nurse practitioner in December with a five-week history of itchy eyes and nasal congestion with
watery nasal discharge. She also complains of a “tickling” cough, especially at night, and she has had episodes of repetitive sneezing. She gets frequent “colds” every
spring and fall. Physical Examination Vital Signs: Afebrile; respiratory rate, pulse, and blood pressure all normal Skin: Flaking erythematous rash on the flexor
surfaces of both arms Head, Eyes, Ears, Nose, and Throat: Tender overmaxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red,
irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous, with clear postnasal drainage
Lungs: Clear to auscultation and percussion Answer the questions about Donna and her condition and provide a pathophysiological response in the body. Examine and
describe the pathophysiology associated with the possible disease. What is the possible disease process according to the client’s history? What assessment questions
would be useful to ask about her medical and family history? What evidence suggests that Donna does not have an acute severe infection? If Donna has allergic rhinitis,
what type of hypersensitivity reaction is involved? References no more than 5 years old. DO NOT CUT AND PASTE Citing with references I need this references in my
paper: Textbook: Pathophysiology: The Biologic Basis for Disease in Adults and Children 7 edition Kathryn L. McCance; Sue E. Huether Elsevier – Health Sciences
Division