Targeted Immune

A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following clients statement indicates an understanding of the teaching?

"I will avoid being in large crowds while taking this medication." Rationale: methotrexate can cause leukopenia due to bone marrow suppression, which can increase the clients risk for infection.

A nurse is assessing a client who has a systemic lupus erythematosus. Which of the following findings should the nurse expect?

A decreased urine output her, butterfly rash, and joint inflammation

A nurse is caring for a client who reports a skin change. Which of the following findings should the nurse report to the provider?

An asymmetrical papule that is pigmented

A nurse is caring for four clients.Which of the following clients is at the greatest risk for pneumonia?

An older adult client who has dysphasia

A nurse is providing teaching to a client who has rheumatoid arthritis and reports persistent pain. Which of the following responses should the nurse make?

Ask a friend or family member to help with household chores.

A nurse is performing a breast examination on a female client who is pregnant. Which of the following findings should the nurse report to the provider?

Breast tissue with an orange peel appearance

A nurse is providing teaching to a client who has an allergy to peanuts. Which of the following instructions is the priority to include in teaching?

Carrie an emergency anaphylaxis kit.

A nurse is providing teaching to a client who is scheduled for a Pap test. The nurse should inform the client that the Pap test is used to screen for which of the following?

Cervical cancer

A nurse is caring for a client who has HIV. Which of the following laboratory findings should suggest the nurse that medication therapy is effective?

Decreased viral load

A nurse is planning discharge teaching for a client who is receiving chemotherapy and has bone marrow suppression. Which of the following instruction should the nurse plan to include in the teaching?

Faith with an antimicrobial soap twice per day.

A nurse is providing teaching to a client who takes an oral contraceptive has a new prescription for amoxicillin. which of the following statements by the client indicates an understanding of the teaching?

How are use a backup method of birth control while I am taking this medication.

A nurse is providing discharge teaching to a client who has HIV. Which of the following statements by the client indicates an understanding of the teaching?

I should discard open beverages that have been Unrefrigerated for one hour.

A nurse is providing teaching to client and has a SLE. Which of the following statements by the client indicates an understanding of the teaching?

I should wear gloves when it's cold outside. Rationale: Reynards phenomenon commonly accompanies this disease and can cause painful vasoconstriction in the clients fingers when exposed to cold temperatures.

A nurse is planning care for a client who has leukemia and a platelet count of 48,000/mm3. Which of the following interventions should the nurse include in the plan?

Test the clients urine and stool for occult blood.

A nurse is caring for a client who has neutropenia. Which of the following findings indicates a need for intervention?

The clients grandchild is visiting and telling the client about the first day of kindergarten.

A nurse is educating a client who is scheduled for a kidney transplant. Which of the following information about hyperacute rejection should the nurse include in the teaching?

The organ will need to be removed if hyperacute rejection occurs. Rationale: removing the transplanted organ is the only treatment for hyperacute rejection, due to the wide spread clotting cascade that leads to ischemic necrosis of the transplant kidney.

A nurse is teaching the parent of a child about administration guidelines for the HPV vaccine. Which of the following information should the nurse include?

Three doses are administered to adolescents who start the series after age 15

A nurse is caring for a client who is in the middle with enlarged and a fever. To confirm diagnosis of bacterial pharyngitis, the nurse should anticipate which of the following diagnostic test?

Throat culture

A nurse is reviewing the daily laboratory results for a female client who has acute leukemia. Which of the following values is an expected finding?

WBC 21,00/mm Rationale: A client who has acute leukemia typically has an elevated WBC, Decreased hemoglobin levels, decreased Hct levels, and decrease platelet count

A nursing emergency department is assessing a newly admitted client. Which of the following action places the client at an increased risk for contracting hepatitis B?

Engaging in unprotected sexual intercourse

A nurse is caring for a client who has non-Hodgkin's lymph Phoma and is receiving chemotherapy. Which of the following is the priority assessment finding?

Erythema at the IV insertion site Rationale: the greatest risk to client is injury to the tissue due to extravasation of chemotherapy. Erythema as the IV insertion site can indicate extravasation is occurring, which can lead to infection and tissue loss.

A nurse is planning an education program about testicular cancer for a group of mail adolescence. Which of the following information shared the nurse include?

Examine the testicles immediately after showering. Rationale: testicular self examination should be performed on a monthly basis by examining the customers after a bath or shower to allow for easier palpitation

A nurse is caring for a client who has viral pneumonia. Which of the following findings should the nurse report immediately to the provider?

Left shift in WBC differential Rationale: when using the non-urgent versus urgent approach to client care, the nurse to determine that the priority finding that is a left shift and the clients WBC differential, which indicates that the pneumonia is of bacteria origin, rather than viral. The left shift can be a manifestation of sepsis, and the nurse report this finding to the provider

A nurse is providing teaching to a group of clients regarding skin cancer prevention. Which of the following risk factors should the nurse include in the teaching?

Light skin pigmentation

A nurse is reviewing the laboratory report for a client who has Hodgkin's lymphoma. Which of the following findings should the nurse expect?

Reed-Sternberg cells. Rationale: these are cancer cells specific to a client who has Hodgkin's lymph Phoma. They are located with in the clients lymph nodes.

A nurse is providing teaching to a client who has Hodgkin's lymph Phoma and is undergoing external radiation treatment. Which of the following instructions should the nurse include?

Avoid direct sun exposure to the skin. Rationale: the nurse should instruct the client to avoid sun exposure because the clients skin is sensitive to sunburn due to the external radiation. The nurse should also instructed client not to remove the ink or die markings because they identify the location of the site that is being radiated. The nurse would also include instructions to the patient that they should pat rather than run to dry the skin which will help avoid damage of the skin

A nurse is caring for a client who has an elevated prostate specific antigen level. The nurse should anticipate that the client will undergo which of the following diagnostic test?

Digital rectal examination

A nurse is assessing a client who has a new prescription for clindamycin to treat acute pelvic inflammatory disease. The nurse should report which of the following findings to the provider immediately?

Watery diarrhea. Rationale: the greatest rest of this client is pseudomembranous colitis, which is manifested by watery diarrhea.

A nurse is planning an education program for a group of high school teachers who will be taking students on a hike. Which of the following information should be nurse include regarding Lyme disease?

If you develop pain and stiffness in your joints, you should see a doctor Rationale the nurse should inform the group that manifestations of stage one lung disease include influenza like manifestations, a bull's-eye rash, muscle and joint pain, and stiffness. The nurse should also instructed to report any of these findings to a provider

A nurse is assessing a client who has HIV. Which of the following findings should cause the nurse to suspect that the clients diagnosis has progressed to AIDS?

Small purple-colored skin lesions Rationale: this is an indication that the client has acquired Kaposi's sarcoma, which is an AIDS-defining illness