Custom: Concept ll Immunity, inflammation, infection

A nurse is caring for a client who has cirrhosis and a prescription for actulose. Following administration, the nurse should monitor the client for which of the following adverse effects?

Diarrhea

A nurse is caring for a client who has cirrhosis. When delivering the client's lunch tray, which of the following food selection requires intervention by the nurse?

1 slice of ham on whole wheat bread.

A nurse is caring for a child who has rheumatic fever. When obtaining the clients medical history from the patient, the nurse should recognize which of the following findings as significant?

A sibling had a sore throat three weeks ago.

A nurse is assisting in preparing a presentation at a community center about systemic lupus erythematosis (SLE). The nurse should identify which of the following groups of people as having the highest risk for developing this disorder?

African American Women.

A nurse is assisting with the development of a community education course about the physical complications related to substance use disorder. Which of the following substances should the nurse identify as primary causes of ciffhosis?

Alcohol.

A nurse is caring for a client who has AIDS-associated dementia and is confused. Which of the following actions should the nurse take?

Apply a bed alarm to the clients bed.

A nurse is assessing a client who has a history of HIV with phagocytic dysfunction. The nurse should monitor the client for which of the following conditions?

Bacterial infection

A nurse in a providers office is collecting data from a client who has systemic lupus erythematosus (SLE) and takes hydroxychloroquine to reduce skin inflammation. The nurse should identify that which of the following is an adverse effect of this medication?

Blurred vision.

A client arrives for initial evaluation following a diagnosis of systemic lupus erythematosus (SLE). The nurse understands that which of the following is a classic cutaneous manifestation of SLE?

Butterfly rash on face.

A nurse is reviewing a recent laboratory report a client who has Human Immunodeficiency Virus (HIV). Which of the following laboratory values should the nurse report to the provider?

CD4-T-Cell count 140/mm3

A nurse is collecting data from a 2 year-old toddler who has AIDS. The nurse should inspect inside the toddler's mouth for which of the following oppertunistic infections?

Candidiasis.

A nurse is collecting data from a client who has AIDS. When checking the client's mouth, the nurse notes white, creamy covering on the tongue and buccal membranes. The nurse should recognize this is a manifestation of which of the following conditions?

Candidiasis.

A nurse is caring for a client who is HIV-positive and is 1 day postoperative following an appendectomy. Which of the following actions requires the nurse to wear a gown as personal protective equipment (PPE)?

Changing a wound dressing.

The nurse is contributing to the plan of care for a client who has cirrhosis and ascites. Which of the following interventions should the nurse recommend for inclusion in the plan of care?

Decease the clients fluid intake.

A nurse is reviewing the laboratory reports for a client who has cirrhosis. Which of the following results should the nurse expect for the client?

Decreased platelets.

A Nurse is preparing to dispose of a needle after administering an intramuscular injection to the client who has hepatitis C. Which of the following actions should the nurse take?

Dispose of the needle uncapped.

A nurse is checking for paradoxical blood pressure on a client who has constrictive pericarditis. Which of the following finding should the nurse expect?

Drop in systolic blood pressure more than 10mm on inspiration.

A nurse is assisting with the care of a client who has infective endocarditis. Which of the following manifestations should the nurse identify as a complication of this disorder?

Dyspnea.

the nurse is collecting data on a client who has infective endocarditis. The nurse should recognize which of the following findings is the priority to report to the provider?

Dyspnea.

A nurse is contributing to a teaching plan about the prevention of hepatitis A. The nurse should include that which of the following activities can spread hepatitis A?

Eating uncooked food.

A nurse is caring for a client who has liver cirrhosis with ascites and bleeding esophageal varices. Which of the following laporatory findings indicates that the client's gastrointestinal (GI) tract is digesting and absorbing blood?

Elevated BUN.

The nurse is collecting data from a client who has systemic lupus erythematosis ( SLE). which of the following findings should the nurse expect?

Facial Rash.

A nurse is preparing an in-service about HIV for a group of newly hired assistive personnel. Which of the following statements should the nurse include about HIV transmission?

HIV is transmitted through contact with infected body fluids.

A nurse is assisting with the administration of a 9-year-old child who has acute rheumatic fever. When obtaining the client's history, it is appropriate for the nurse to ask the parent which of the following questions?

Has your son had a sore throat lately?

A nurse is caring for a client who has hepatitis A. The client asks the nurse how he might have contracted the virus. Before responding which of the following questions should the nurse first ask the client?

Have you eaten any shellfish lately?

A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive?

Hepatitis B immune globulin and hep B vaccine within 12 hours.

A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which of the following statements by the client indicates an understanding of the teaching?

I will abstain from sexual intercourse.

A nurse is reinforcing teaching with a client about how to use her new hearing aids. Which of the following statements should the nurse identify as an indication that the client needs further instructions?

I will clean the hearing aids with alcohol wipes.

A nurse is caring for a client who has cirrhosis of the liver with ascites. Which of the following interventions should the nurse take?

Increase daily calorie intake.

A nurse is preparing to administer immunizations to a child who has an allergy to eggs. The nurse should know that an allergy to eggs is a contrindication for which of the following immunizations?

Influenza (TIV).

A nurse is preparing a client who has advanced cirrhosis for an abdominal paracentesis. Which of the actions should the nurse take?

Instruct the client to empty his bladder.

A nurse is collecting data from a client who has AIDS. The nurse notes that the client has multiple, widespread purplish- brown skin lesions. The nurse should suspect that the client has developed which of the following types of skin lesions?

Kaposi's sarcoma

A nurse is contributing to a plan of care for a client who has Hepatitis B. Which of the following should the nurse include in the plan?

Limit activity.

A nurse is assisting with the care of a client who has cirrhosis of the liver with ascites. Which of the following actions should the nurse take?

Measure the client's abdominal girth every 8 hrs.

A nurse is preparing to administer the hepatitis B vaccine to a client. Which of the following techniques should the nurse use to locate the deltoid muscle?

Place one finger across the acromion process and measure 3 fingerbreadths below the midpoint and center of the lateral aspect of the upper arm.

A nurse is collecting a health history from a client. which of the following clients data should the nurse identify as a risk factor for contraindicating hepatitis C?

Presence of multiple tattoos.

A nurse is collecting data from a client who has systemic lupu erythematosus. Which of the following findings is the highest priority to report to the provider?

Presence of peripheral edema.

A nurse is assisting with the plan of care for a client who has viral hepatitis. Which of the following actions should the nurse include in the plan?

Provide periods of rest.

A nurse is contributing to the plan of care for a client who has had HIV for 10 years and is at the end of life. Which of the following interventions should the nurse recommend?

Provide routine analgesia to minimize episodes of breakthrough pain.

A nurse is caring for a client who has AIDS and anorexia. Which of the following actions should the nurse take to increase the clients body weight?

Provide supplemental vitamins.

A nurse is caring for a client who was diagnosed with HIV 6 months ago. The client came to the clinic for testing to determine disease progression. Which of the following laboratory tests should the nurse expect the provider to prescribe?

Quantitative RNa assay.

The nurse is reinforcing teaching with a client who has a new diagnosis of systemic lupus erythematosus (SLE). Which of the following information should the nurse include in the teaching?

SLE affects the connective tissue of the body.

A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following laboratory values should the nurse review to determine the clients renal function?

Serum Creatinine.

A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus (HIV). the client states, "I don't care what the doctor says, there is no way I can have HIV.

Situational.

A nurse is reinforcing discharge teaching with a client who has AIDS. Which of the following statements should the nurse make regarding home infection control?

Soak sponges used for cleansing in a bleach solution after use.

A nurse is assisting a client with who has advanced cirrhosis. Which of the following manifestations should the nurse expect to find?

Spider angioma.

A nurse is assigned care of a client who has HIV. Which of the following infection control precautions should the nurse plan to use while caring for this client?

Standard precautions.

A nurse is assisting in the care of a client who is receiving a transfusion of packed red blood cells. The client develops itching and hives. Which of the following actions should the nurse take first?

Stop the transfusion.

A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching?

Take temperature once a day.

A nurse is preparing to administer the measles, mumps and rubella (MMR) vaccine to a 15 month-old child. Which f the following findings should the nurse identify as a contraindication for this immunization?

The child has a congenital immunodeficiency.

A nurse is reinforcing teaching with a community group about he preventions of viral hepatitis. Which of the following information should the nurse include in the teaching?

Thoroughly cook foods prepared with tap water.

A nurse is reinforcing discharge teaching with a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse incliude in the teaching?

Wash hair with a mild shampoo.

A nurse is talking with a client who has to come to the clinic for HIV testing. The nurse should explain to the client that, after the laboratory has the enzyme immunoassay (EIA) results, it will use which of the following tests to confirm the diagnosis?

Western Blot assay.

A nurse is reinforcing teaching about immunizations with the parents of a newborn. Which of the following statements should the nurse make?

Your newborn is scheduled to have a hepatitis B vaccine prior to discharge.