CH 38 (Rheumatoid disorders), CH 7 (Cell Physiology), CH 10 (Antiviral Agents), CH 14 (Antineoplastic Agents) PrepU (Immunity CC3 Test)

A nurse is preparing a client with systemic lupus erythematosus (SLE) for discharge. Which instruction should the nurse include in the teaching plan? a. "Monitor your body temperature." b. "There are no activity limitations between flare-ups." c. "Corticosteroids may be stopped when symptoms are relieved." d. "Exposure to sunlight will help control skin rashes."

a. "Monitor your body temperature."

The nurse is reviewing cellular structure in preparation for admitting a client with a genetic disorder. The nurse should be aware of what element that is found within the cytoplasm of the cell? a. Free ribosomes b. Receptor protein c. Channels d. Cholesterol

a. Free ribosomes

Which is the leading cause of disability and pain in the elderly? a. Osteoarthritis (OA) b. Systemic lupus erythematosus (SLE) c. Scleroderma d. Rheumatoid arthritis (RA)

a. Osteoarthritis (OA)

A client with a diagnosis of bladder cancer is started on a chemotherapeutic regimen that includes three agents. What is the rationale for using multiple antineoplastic agents? a. The use of three agents decreases the development of cell resistance. b. The use of three agents increases the quantity of one of the agents. c. The use of three agents decreases the adverse effects. d. The use of three agents increases the length of treatment.

a. The use of three agents decreases the development of cell resistance.

A client with a diagnosis of non-small-cell lung cancer is currently undergoing chemotherapy. At the encouragement of a family member, the client has announced to the nurse the intention to complement this treatment with a regimen of herbal remedies. How should the nurse respond to this client's statement? a. "Unfortunately, your current chemotherapy program will likely preclude the use of herbs." b. "It's important to discuss what herbs you'll be taking with your health care provider or the pharmacist to make sure there aren't any interactions." c. "It's likely best to begin taking herbal remedies after you've completed this round of chemotherapy." d. "If that's something in which you and your family see potential benefit, I'd encourage you to pursue it."

b. "It's important to discuss what herbs you'll be taking with your health care provider or the pharmacist to make sure there aren't any interactions."

An adult client who has been diagnosed with a rectal tumor is scheduled to begin treatment with cisplatin. The nurse has conducted client teaching about the possibility of nausea and vomiting. In order to reduce the client's risk of severe nausea, the nurse should: a. Place the client on a low-residue diet. b. Administer a combination of antiemetics prior to the administration of the drug. c. Ensure that the client is NPO from midnight prior to receiving the drug. d. Encourage the client to request antiemetics if the nausea becomes unbearable.

b. Administer a combination of antiemetics prior to the administration of the drug.

A client is experiencing symptoms that are suspected to be related to systemic lupus erythematosus. What cutaneous symptom occurs in about 50% of clients affected by this disease? a. Diffuse purplish lesions on the trunk b. Butterfly-shaped rash on the face over the bridge of the nose and cheeks c. Fluid-filled vesicles clustered on the cheeks, chin, and forehead d. Pustules scattered on the chest and back

b. Butterfly-shaped rash on the face over the bridge of the nose and cheeks

The nurse is educating a client about the risks of stroke related to the new prescription for a COX-2 inhibitor and what symptoms to report. Which COX-2 inhibitor is the nurse educating the client about? a. Tolmetin sodium b. Celecoxib c. Ibuprofen d. Piroxicam

b. Celecoxib

Which process involves removing substances from a cell by pushing them through the cell membrane? a. Pinocytosis b. Exocytosis c. Phagocytosis d. Endocytosis

b. Exocytosis

A nurse in a laboratory class is watching a cell actively divide under a microscope. What stage of cell division is the nurse observing? a. S phase b. M phase c. G2 phase d. G0

b. M phase

Which of the following disorders is characterized by an increased autoantibody production? a. Rheumatoid arthritis (RA) b. Systemic lupus erythematosus (SLE) c. Scleroderma d. Polymyalgia rheumatic

b. Systemic lupus erythematosus (SLE)

The nurse is describing the necessity of recovery periods between treatment cycles to a client receiving chemotherapy. How should the nurse best explain the need? a. Time is required for the successful application of radiotherapy between cycles of chemotherapy. b. Time is needed to replace many of the healthy body cells killed by chemotherapy. c. There is a need to restore a physiologic reserve of energy before further chemotherapy. d. The restoration of fluid balance and nutrition is needed before continuing with chemotherapy.

b. Time is needed to replace many of the healthy body cells killed by chemotherapy.

What client is most likely to be experiencing increased phagocytosis? a. A client experiencing peripheral and pulmonary edema b. A client recovering from a myocardial infarction c. A client who is being treated for sepsis d. A client with an inherited mitochondrial disorder

c. A client who is being treated for sepsis

What intervention is a priority for a client diagnosed with osteoarthritis? a. Allopurinol b. Colchicine c. Physical therapy and exercise d. Hydrotherapy

c. Physical therapy and exercise

Which statement regarding antiviral medications is true? a. Once antivirals are used, protection lasts for 3 weeks after the last dose. b. Antivirals present relatively low risk for toxicity. c. Most antivirals temporarily increase viral replication. d. Antivirals do not eliminate existing viruses from tissues.

d. Antivirals do not eliminate existing viruses from tissues.

To prevent viral infections, what precaution should the general public take? a. Wear masks. b. Use intermittent hand hygiene. c. Wear personal protective equipment. d. Become vaccinated against prevalent virus infections.

d. Become vaccinated against prevalent virus infections

A client with active AIDS is infected with a retrovirus. This virus is better known as which? a. DSV b. CMV c. HSV d. HIV

d. HIV

After reviewing cell physiology in preparation for a test, a group of students demonstrate understanding of the topic when they identify what as the main goal of a cell? a. Reproduction b. Production of energy c. Movement of substances d. Maintain homeostasis

d. Maintain homeostasis

A 70-year-old man is being treated for herpes zoster virus. He has been prescribed acyclovir (Zovirax). The clinic nurse should prioritize assessments of which of the following? a. Neurologic function b. Cardiac function c. Respiratory function d. Renal function

d. Renal function

A nurse is providing education to a client who is preparing to begin chemotherapy for the treatment of cancer. What action should the nurse encourage the client to implement to minimize the effects of chemotherapy-triggered mucositis? a. Gargle with a commercial mouthwash 3 to 4 times daily b. Limit fluid intake to prevent overhydration of mucous membranes c. Self-administer 650 mg of acetaminophen 4 times daily d. Thoroughly rinse the mouth often, especially before and after meals

d. Thoroughly rinse the mouth often, especially before and after meals