Dynamic Quizzes: Immunity
Baked chicken
A home health nurse is planning care for a client who is receiving chemotherapy and has neutropenia. Which of the following foods should the nurse include in the client's plan of care?
"Apply moisturizer after bathing the lesions with warm water."
A nurse is caring for a client who has systemic lupus erythematosus (SLE) and is concerned about skin lesions on her face and neck. The client asks the nurse, "What should I do about these spots?" Which of the following responses should the nurse give?
Heat paraffin therapy applied to the client's joints
A nurse is caring for a client who is experiencing an acute exacerbation of rheumatoid arthritis. The nurse should anticipate that the client's affected joints will require which of the following treatments?
"Monitor your body temperature and report any elevations promptly." (SLE is characterized by periods of exacerbation and remissions. The nurse should teach the client to monitor body temperature and report any elevations promptly, as a fever can suggest either an exacerbation or a potentially life-threatening infection.)
A nurse is planning discharge teaching for a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?
"Wash your genitalia using an antimicrobial soap." (instruct the client to bathe daily using an antimicrobial soap to prevent the spread of infection.)
A nurse is providing discharge teaching to a client who has AIDS about preventing infection while at home. Which of the following instructions should the nurse include in the teaching?
-Avoid large gatherings of people -Clean toothbrush by running through the dishwasher -Avoid digging in the garden
A nurse is providing discharge teaching to a client who has HIV. Which of the instructions about infection prevention should the nurse include? (Select all that apply.)
"I will need to take methotrexate, even if I'm in remission." (Methotrexate is an immunosuppressive medication given during remission to help prevent exacerbation)
A nurse is providing discharge teaching to a client who has a new diagnosis of systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching?
"I'll clean up blood spills immediately with hot water."
A nurse is providing discharge teaching to the partner of a client who has acquired immune deficiency syndrome (AIDS). Which of the following statements by the client's partner indicates a need for further teaching?
"Wash your feet daily using lukewarm water and soap."
A nurse is providing teaching about foot care to a client who has diabetes mellitus. Which of the following pieces of information should the nurse include in the teaching?
Rheumatoid factor (An increase in the client's rheumatoid factor can indicate rheumatoid arthritis or other connective tissue diseases.)
A nurse is reviewing the laboratory results for a client who reports bilateral pain and swelling in her finger joints, with stiffness in the morning. The nurse should recognize that an increase in which of the following laboratory values can indicate arthritis?
Fecal-oral contamination
A nurse is teaching a client about preventing the transmission of hepatitis A. The nurse should identify that hepatitis A is transmitted by which of the following routes?
Exercise (clients who have SLE can follow an exercise program to increase their cellular aerobic capacity and improve immune function. This client needs additional teaching about the importance of exercise to keep her muscles and joints active.)
A nurse is teaching a female client with a new diagnosis of systemic lupus erythematosus (SLE) about factors that can trigger an exacerbation of SLE. The nurse should determine that the client requires further teaching if she identifies which of the following as an exacerbation factor?
"I can take this medication with aspirin." (avoid taking this medication with any other NSAIDs such as aspirin because this can increase the risk of bleeding and gastrointestinal ulceration.)
A nurse in a provider's office is teaching a client with a recent diagnosis of rheumatoid arthritis who has a new prescription for naproxen tablets. Which of the following statements by the client indicates the need for further teaching?
Reddish-purple skin lesions (Kaposi's sarcoma is commonly associated with AIDS and manifests as hyperpigmented multicentric lesions that can be firm, flat, raised, or nodular. Following a biopsy, the lesions are treated with radiation and/or chemotherapy.)
A nurse is assessing a client who has Kaposi's sarcoma. Which of the following findings should the nurse expect?
Finger contractures
A nurse is assessing a client who has systemic scleroderma. Which of the following findings should the nurse expect?
"It sounds like you are unsure what to say to your partner."
A nurse is caring for a client who has human immunodeficiency virus (HIV). The client asks the nurse, "Should I tell my partner that I am HIV positive?" Which of the following statements should the nurse provide?
Erythema at the incision site
A nurse is caring for a client who is 2 days postoperative. Which of the following findings indicates that the client is developing an infection?
IgE (An elevated IgE indicates a positive response and is common among clients who have a history of allergic manifestations, anaphylaxis, and asthma.)
A nurse is caring for a client who underwent radioallergosorbent (RAST) testing due to seasonal allergies. The nurse should anticipate an elevation in which of the following immunoglobulin laboratory values?
Standard precautions
A nurse is caring for client who has human immunodeficiency virus (HIV). Which of the following types of isolation should the nurse implement to prevent the transmission of HIV?
Use a separate cutting board for poultry
A nurse is conducting dietary teaching for a client who has AIDS. Which of the following instructions should the nurse include in the teaching?
Bananas (An allergy to bananas is a risk factor that indicates the client could also be allergic to latex. Certain proteins in latex are also found in cross-reactive foods such as bananas, avocados, kiwi, chestnuts, mangoes, pineapple, and passion fruit.)
A nurse is performing a preoperative assessment of a client about to undergo a cholecystectomy. The nurse should identify a risk for a latex allergy when the client reports an allergy to which of the following foods?
Avoid salty foods (Stomatitis is an inflammation of the mucosa of the mouth, usually with ulcerations. Foods that are spicy, acidic, or salty should be avoided to prevent further irritation and damage to the oral mucosa.)
A nurse is planning care for a client who has AIDS and has developed stomatitis. Which of the following interventions should the nurse include in the plan of care?
Corticosteroids
A nurse is planning care for a client who has acute systemic lupus erythematosus (SLE) and is scheduled to begin treatment for systemic manifestations. Which of the following types of medications should the nurse plan to administer?
"You can suck on popsicles to numb your mouth."
A nurse is providing dietary teaching for a client with AIDS who has stomatitis of the mouth. Which of the following instructions should the nurse include in the teaching?
"I will wash my feet daily and apply lotion, except between my toes."
A nurse is providing discharge teaching about foot care to a client who has diabetic neuropathy. Which of the following statements by the client demonstrates an understanding of the teaching?
"I should stop eating raw clams."
A nurse is providing teaching to a client who has a diagnosis of hepatitis A. Which of the following statements by the client indicates an understanding of the teaching?
Erythrocyte sedimentation rate (ESR)
A nurse is reviewing the laboratory data of a client who reports manifestations suggesting systemic lupus erythematosus (SLE). The nurse should expect an increase in which of the following parameters for a client who has SLE?
Increased mucus secretion
A nurse is teaching a client about the manifestations of an allergic reaction. The release of histamine causes which of the following reactions?
"PCP results from an impaired immune system." (PCP exists as part of the normal flora of the lungs and develops into a fungus. It becomes an aggressive pathogen when the immune system is compromised, causing infection.)
A nurse is teaching a client who has AIDS about the transmission of Pneumocystis jiroveci pneumonia (PCP). Which of the following pieces of information should the nurse include in the teaching?
Protect against the cold by wearing layers of clothing (Raynaud's disease (syndrome) are prone to attacks during cold weather. Extreme cold can lead to tissue damage.)
A nurse is teaching a client who has Raynaud's disease. Which of the following pieces of information should the nurse include in the teaching?
"HIV can be transmitted to anyone who has had contact with infected blood."
A nurse is teaching a client who has human immunodeficiency virus (HIV) about how the virus is transmitted. Which of the following statements should the nurse include the teaching?
"You can expect a persistent fever and swollen glands." (Clients who have AIDS can have a persistent fever, swollen glands, diarrhea, weight loss, and fatigue)
A nurse is teaching a client who has human immunodeficiency virus (HIV) about the early manifestations of acquired immune deficiency syndrome (AIDS). Which of the following statements should the nurse include in the teaching?
"I will put a mattress cover on my bed."
A nurse is teaching a client who tested positive for an allergy to dust. The nurse should determine that the client understands how to reduce her exposure to this allergen through which of the following statements?
"I should not smoke." (Raynaud's disease is a disorder of the blood vessels that supply blood to the skin and cause the distal extremities to feel numb and cool in response to cold temperatures or stress. Smoking cessation can prevent the onset of the manifestations of Raynaud's disease.)
A nurse is teaching a client who was recently diagnosed with Raynaud's disease about preventing the onset of manifestations. Which of the following statements by the client indicates an understanding of the teaching?
Infection (Prednisone can suppress the client's immune response and mask the manifestations of an infection.)
A nurse is teaching a client with systemic lupus erythematosus who has a new prescription for prednisone. The nurse should instruct the client to monitor for which of the following adverse effects of this medication?
