Exam 3 Pn2 immune system disorders success questions
26 year old female complaining of low grade fever arthralgia fatigue and a facial rash which lab test should the nurse expect if systemic lupus erythematosus is suspected
CBC and antinuclear antibody test
the client diagnosed with an acute exacerbation of systemic lupus erythematosus is prescribed high dose steroids which statement best explains the scientific rationale for using high dose steroids
the steroids will suppress tissue inflammation which reduces damage to organs
the client is complaining of allergic rhinitis which assessment question is important for the nurse to ask
which OTC medications have you tried
what statement is the most therapeutic response for a nurse who finds a client recently diagnosed with acute aspiration of multiple sclerosis and is crying
you seem upset. I will sit down and we can talk for a while
the client diagnosed with Guillian barres syndrome the nurse will I ever get back to normal I am so tired of being sick. Which name is best
you should make a full recovery within a few months to a year
the nurse is describing the IV Virus Infection to a client who has been told he has HIV which information regarding the virus is important to teach
HIV virus is retrovirus which means it never dies as long as it has a host to live in
client recently diagnosed with rheumatoid arthritis is prescribed aspirin a NSAID which comment by the client one's immediate intervention
I am having ringing in my ears, tinnitus is a sign of aspirin toxicity
which statement indicates a female client with systemic lupus erythematosus understands the discharge instructions
I am not going to any activities with large crowds, puts me at risk for infections
which statement by the client supports the diagnosis of Guillain-Barre syndrome
I had a really bad cold just a few weeks ago, this is usually preceded by respiratory or GI infection 1 to 4 weeks prior to onset of neurological deficits
which statement by the female client diagnosed with myasthenia gravis indicates the client understands teaching
I should have ordered people who have respiratory infections I should not take a hot bath or swim in cold water I will drink at least 2500 mL of water a day
which assessment data should the nurse is assessing a client diagnosed with Guillain-Barre syndrome
Progressive ascending paralysis of lower extremities and numbness
the client is prescribed a prick epicutaneous test to determine the cause of hypersensitivity reactions which result indicates the client is hypersensitive to the allergen
a pruritic wheel and erythema occur
which surgical procedure should the nurse anticipate the client with my myasthenia gravis undergoing to help prevent the signs and symptoms of the disease process
a thymectomy
client diagnosed with pneumocytis pneumonia PCP is admitted to the Intensive Care Unit which order should the nurse Implement first
administer O2 to the client via nasal cannula
the client in the ER begins to experience a severe anaphylactic reaction after an initial dose of IV penicillin an antibiotic which intervention should the nurse implement
administer Solu-Medrol a glucocorticoid IV initiate the rapid response team administer epinephrine in antigenic blocker, SQ than IV continuous assess clients pulse and respirations
after eating a Klein come to the ER complaining of dyspnea wheezing after eating at a seafood restaurant the client cannot speak has a bluish color around the mouth which intervention should the nurse Implement first
administer oxygen at 100%
client is diagnosed with myasthenia gravis. Which intervention should the nurse Implement when administering the anticholinestarase pyridostigmine mestinon
administering the medication 30 minutes prior to meals, this med increases muscle strength to help enhance swallowing and chewing during meals
which intervention should the nurse Implement to the client diagnosed with systemic sclerosis
applying moisturizer to the skin frequently
the 20 year old female client diagnosed with Advanced unremitting rheumatoid arthritis is being admitted to receive a regiment of immunosuppressive medications. Which question should the nurse ask
are you sexually active and if so are you using birth control this man should not be taken while pregnant
the nurse is admitting a client diagnosed with protein calorie malnutrition secondary to AIDs. Which intervention should bee first
assess a client's body weight and ask what he has been able to eat
which assessment intervention should the nurse Implement specifically for the diagnosis of Guillain-Barre syndrome
assess deep tendon reflexes, hyporeflexia of the lower extremities is classic clinical manifestation
the client diagnosed with myasthenia gravis is admitted with exacerbation. which intervention should the nurse implement
assist the client turn and cough every 2 hours, place the client in a Fowler's position, plan meals to promote medication effectiveness
the client with early-stage rheumatoid arthritis is being discharged from the Outpatient Clinic which instruction should the nurse teach regarding the use of NSAIDs
avoid taking on an empty stomach
client diagnosed with anaphylactic reaction is admitted to the ER which assessment data indicates the client is not responding to the treatment
client has an APA 110 and a BP of 90/60
a client with myasthenia gravis is undergoing plasmapheresis at the bedside which assessment they don't work and mediate intervention
clients BP is 94/60 and AP is 112
which signs and symptoms should the nurse expect to assess in a client diagnosed with sjogrens syndrome
complaints of dry mouth and eyes
which intervention is an important psychosocial consideration to the client diagnosed with AIDS
complete an advance directive
the client diagnosed with rheumatoid arthritis who has been prescribed etranercept a tumor necrosis factor-alpha inhibitor shows marked Improvement which instruction regarding the use of this medication should the nurse
continue to have check-ups and lab work while taking the med
client with multiple sclerosis states he has been investigating alternative therapies to treat his disease. Which intervention is most appropriate
conversion therapy if it is not contraindicated by the medical regimen
which symptoms should the nurse expect to assess in the client who is in the recovery stage of Guillain-Barre barres syndrome
descending increase in muscle strength, may take several months to 2 years
a 45 year old client diagnosed with primary Progressive multiple sclerosis, the nurse writes nursing diagnosis anticipatory grieving related to Progressive loss. Which intervention should be implemented
discuss the client's wishes regarding end-of-life care
which nursing intervention should the nurse include when teaching the client diagnosed with polymyositis
discuss the need to take corticosteroids every day for inflammation of connective tissue in muscle fibers
client diagnosed with myasthenia gravis is being discharged home. Which intervention has priority
discuss ways to help prevent choking episodes
which intervention should the nurse discuss with a female client who is positive for HIV
do not engage in unprotected sex do not donate blood, organs or tissues do not get pregnant explain the client does not have to tell Health Care Personnel of HIV status but it is recommended especially to dentist
30 year old female is admitted with complaints of numbness, tingling, crawling sensation affecting the extremities, double vision which has occurred twice in one month. What question is most important to ask
do you get tired easily and sometimes have problems swallowing, these are clinical manifestations of Ms and can go undiagnosed for years
which intervention should be implemented for a client with cutaneous lupus erythematosus
dry the skin thoroughly by patting
the client is experiencing an anaphylactic reaction to bee venom which intervention should the nurse implement
establish a patent Airway start an IV with 0.9% saline administer epinephrine administer diphenhydramine teach a client to carry an EpiPen
the client has a red raised rash covering the forearms neck and face and is experiencing extreme itching which is diagnosed as an allergic reaction to poison ivy which discharge instruction should the nurse teach
explain how to take a steroid dose pack
which symptoms make the nurse suspect the most common opportunistic infection in the female client diagnosed with AIDS
fever, cough, and shortness of breath, pneumocystis pneumonia PCP occurs in approximately 75 to 80% of clients with Aid
a client newly diagnosed with multiple sclerosis States I don't understand how I got this is it genetic which statement should the nurse respond with
genetics may play a role in susceptibility to Ms but the disease be caused by a virus
the client with AIDS and dementia is referred to hospice which intervention has priority
have consistent uninterrupted time with the client
which discharge instruction should the nurse Implement for the client diagnosed with myasthenia gravis
identify specific measures to help avoid fatigue and undue stress
client is highly allergic to insect Venom and is prescribed Venom immunotherapy which statement is the scientific rationale for
immunotherapy is effective in preventing anaphylaxis following a future sting
playing made with rule out Guillain-Barre syndrome has just had a lumbar puncture which intervention should the nurse implement
increase fluid intake to prevent post-procedure headache
a nurse is developing a care plan for a client diagnosed with allergic rhinitis which independent problem has priority
ineffective breathing pattern
which priority client problem should be included in the care plan for the client diagnosed with Guillain-Barre syndrome
ineffective breathing pattern, ascending paralysis causes respiratory failure
the hcp scheduled a lumbar puncture for a client admitted with rule Guillian-Barre Syndrome which procedure intervention has priority
instruct the client to avoid to prevent accidental puncture of the bladder
the nurse is discussing autoimmune disease with the classes all of nursing students. Which symptoms are shared by rheumatoid arthritis and systemic lupus erythematosus
joint stiffness and pain
the client asks the nurse which time of the year is allergic rhinitis least likely to occur which statement is the best response
least likely to occur early in winter
which symptom makes the nurse suspect the client has ankylosing spondylitis
low back pain at night relieved by activity in the morning
client diagnosed with an acute exasperation of multiple sclerosis is placed on high dose IV corticosteroid meds which intervention should be
modern in the client's serum blood glucose levels frequently, steroids interfere with glucose metabolism
the nurse is admitting a client diagnosed with multiple sclerosis which clinical manifestations should the nurse assess
muscle flaccidity, dysmetria, fatigue
the client diagnosed with AIDS is complaining of a sore mouth and tongue when the nurse assesses the buccal mucosa of the nurse notes white patchy lesions covering the palates and check what intervention should the nurse implement
notify the hcp for an order for an antifungal Swish and swallow Med
the nurse is planning the care for a client diagnosed with rheumatoid arthritis which intervention should be implemented
obtain an order for a sedated
the nurse is preparing to administer morning medication which medication should the nurse administer first
pain medication to a client diagnosed with rheumatoid arthritis
which assessment data should the nurse suspect the client has chronic allergies
pale, boggy, edematous nasal mucosa
the nurse is admitting a new client with rule out systemic lupus erythematosus which assessment data observed by the nurse reports the diagnosis
pericardial friction rub in crackles in the lungs
which actor or facial sign should the nurse expect to assess for a client diagnosed with myasthenia gravis
ptosis, dropping of eyelids or diplopia, unilateral or bilateral blurred vision
client diagnosed with Guillain-Barre syndrome is having difficulty breathing and is placed on a ventilator. Which situation warrants immediate intervention
pulse ox of 85%
the client who has engaged needle sharing activities list of all the food like infection. And HIV antibody test is negative which statement best describes the scientific rationale for this timing
quiet maybe in the primary infection phase of an HIV infection
client diagnosed with rheumatoid arthritis is being seen which prevention care should the nurse include in the regular scheduled
recommend flu and pneumonia vaccines
75% of clients with myasthenia gravis the thymus gland which usually is inactive after puberty continues to produce antibodies, triggering an autoimmune response in MG what does a thymectomy do for this
reduces or eliminates the production of the autoantibodies to resolve the signs and symptoms of MG
the client diagnosed with Guillain-Barre syndrome is admitted to rehab after 23 days which intervention should the nurse implement
refer to physical therapist, Quest social worker, Implement paint control, refer to guillian barres syndrome Foundation
which referral should the nurse Implement for a client with severe multiple allergies
registered dietitian
client on a medical floor is diagnosed with HIV encephalopathy which client problem is priority
risk for injury safety is always an issue with a client with diminished mental capacity
what are expected clinical manifestations of multiple sclerosis
scanning speech, diplopia, dysarthria, Scotomas, muscle weakness, spasticity
which collaborative Healthcare team members should the nurse refer the client to in late stages of myasthenia gravis
speech therapist
which type of isolation technique is designed to decrease the risk of transmission of recognize an unrecognized sources of infection
standard precautions
a client diagnosed with an acute exasperation of systemic lupus erythematosus is being discharged with a prescription for an oral steroid which will be discontinued gradually which statement is a scientific rationale for this medicine dosage
tapering the dose allows adrenal glands to begin to produce cortisol again
which intervention has the highest priority when caring for a client diagnosed with rheumatoid arthritis
teach the client a proper use of hot and cold therapy to relieve pain
client diagnosed with multiple sclerosis is having trouble maintaining balance which intervention should the nurse discuss
teach the client to stand with feet slightly apart
which area of the body should the nurse assess to identify symptoms to support the early diagnosis of guillian bars syndrome
the ascending paralysis starting in the lower extremity
a nurse caring for clients on a medical floor which client should the nurse assess
the client diagnosed with Advanced rheumatoid arthritis who is receiving an anti neoplastic drugs IV, these can be caustic to tissues
which clinical manifestations of multiple sclerosis warrants immediate intervention
the client has a congested cough and dysphasia
the client with myasthenia gravis is prescribed the cholinesterase inhibitor neostigmine, prostigmin. which data indicates the medication is effective
the client is able to feed self independently, this medication promotes muscle contraction which improves muscle strength
the nurse is assessing the client prior to surgery when chicken formation warrants immediate intervention by the nurse
the client is allergic to iodine and does not have an allergy bracelet
nurse is caring for a client diagnosed with multiple sclerosis which client issue is most important
the client tells the nurse life is not worth living anymore
the nurse on a medical florist caring for clients diagnosed with AIDS which client should be seen first
the client who has flushed warm skin with tented turgor
the nurse on a med unit has received the morning shift report which client should the nurse assess first
the client who received an initial dose of IV antibiotic at all 6:45 the antibiotic should be assessed for tolerance within 30 minutes
the nurse is developing a care plan for a client diagnosed with systemic lupus erythematosus which goal is priority for this client
the client will have no deterioration of organ function
the primary nurse is administering medication to the assign clients which client situation requires immediate intervention by the charge nurse
the client with myasthenia gravis received anticholinesterase medication 30 minutes late it must be administered on time to increase strength during activities such as eating or grooming
client diagnosed with multiple sclerosis is scheduled for an MRI which information should the nurse teach the client
the machine will be allowed in the client must have moved the head during the test
client with rheumatoid arthritis has non-tender movable nodules in the subcutaneous tissue over the elbows and shoulders. Which statement is a scientific rationale for the nodules
the nodules indicate a rapidly Progressive destruction of the affected tissue
the client diagnosed with myasthenia gravis is admitted to the ER with a sudden exacerbation of motor weakness. Which assessment data indicates the client is experiencing a cholinergic crisis
the tensilon test does not show Improvement in the client's muscle strength
is used to diagnose myasthenia gravis
the tensilon test, and injection of edrophonium chloride
a nurse is caring for a client suspected fibromyalgia which diagnostic test confirms the diagnosis
there is no diagnostic test to confirm fibromyalgia
the client diagnosed with systemic lupus erythematosus ass what it is and how did he get it. which is the best
this is an autoimmune disease that may have a genetic or hormonal component
the client with multiple sclerosis is prescribed the muscle relaxant baclofen which statements indicates an understanding of the teaching
this medication must be tapered off over 1 to 2 weeks . this medication will cause drowsiness I should not drink any alcohol with antihistamines I will increase fiber and fluid in my diet
the client diagnosed with systemic lupus erythematosus is being discharged from the med unit which instructions are most important to include
use sunscreen, notify hcp of a low-grade fever, hands and feet may change color if exposed to cold or heat
the nurse caring for a client who is hiv-positive is stuck with the stylet used to start an IV which intervention should the nurse Implement first
watch the skin with water and tried to get the area to bleed
