NCLEX Ques. 59+60

The client is diagnosed with stage 1 of Lyme disease. The nurse should check the client for which characteristic of this stage?

Flu-like symptoms

The client who's diagnosed with human immunodeficiency virus (HIV) seropositive has been taking stavudine. The nurse should monitor which parameter closely while the client is taking this medication?

Gait

Amikacin is prescribed for a client with a diagnosed bacterial infection. The nurse instructs the client to contact the primary health care provider (PHCP) immediately if which occurs?

Hearing loss

The client tells the nurse that they removed the tick and flushed it down the toilet. Which nursing action is appropriate?

Instruct client to return in 4-6 weeks to be tested, because testing before this time isn't reliable

The nurse should plan care considering which factor regarding this diagnosis?

It's an inflammatory disease of collagen contained in connective tissue

The camp nurse prepares to instruct a group of children about Lyme disease. Which information should the nurse include in the instructions?

Lyme disease is caused by a tick carried by a deer

The client brought to the emergency department is experiencing an anaphylactic reaction from eating shellfish. The nurse should implement which immediate action?

Maintaining a patent airway

Which individual is least at risk for the development of Kaposi's Sarcoma?

An individual working in an environment where exposure to asbestos exists

Which statement by one of the cubs scout indicates further teaching?

"I shouldn't use insect repellant because it will attract the ticks."

The nurse continues to monitor the client, knowing that this sign would most likely indicate which condition?

A result of another infection caused by the leukopenic effects of the medication

The nurse is assisting with the administration of immunization at a health care clinic. The nurse should understand that immunization provides which protection?

Acquired immunity from disease

The client diagnosed with pemphigus is being seen in the clinic regularly. The nurse should plan care based on which description of this condition?

An autoimmune disease that causes blistering in the epidermis

Which should be the appropriate nursing action?

Ask the client if they've sustained a bee sting in the past

The nurse should reinforce medication instructions about which health care measure to this client?

Avoid sun exposure

If the nurse noted an increase in one of the client's vital signs and the client is complaining of a headache, which vital signs is most likely increases?

Blood Pressure

The nurse should monitor which laboratory result during treatment with this medication?

Complete Blood Count (CBC)

Which interventions should the nurse include when administering this medication?

Monitor liver function Instruct client to avoid alcohol Instruct client to avoid sun exposure

The nurse is assisting with planning the care of a client with a diagnosis of immunodeficiency. The nurse should incorporate which introduction of a priority in the place of care?

Protecting the client from infection

Based on the diagnosis, the nurse should determine that this has been confirmed by which finding?

Punch biopsy of the cutaneous lesions

The nurse should monitor which side/adverse effects of the medication?

Rash Hepatoxicity

The client is suspected of having systemic lupus erythematosus (SLE). The nurse monitors the client knowing that which is one of the initial characteristic signs of SLE?

Rash on the face across the nose and on the cheeks

The nurse determines that the client may have the medication discontinued by the primary health care provider (PHCP) if which significantly elevated result is noted?

Serum Amylase

The nurse should monitor the results of which laboratory study while the client is taking this medication?

Serum Creatine Level

Which intervention should be implemented in the care of a client at high risk for an allergic response to a latex allergy?

Use nonlatex gloves Use medications from glass ampules Don't puncture rubber stoppers with needles Keep a latex supply cart available in client's area

Which should the nurse incorporate in the plan during the bathing of this client?

Wearing a gown and gloves