ATI Learning Systems RN 3.0 Immune & Infection Dynamic Quiz

A nurse is teaching a client who has TB about a new prescription for rifampin. Which of the following statements by the client indicates an understanding of the teaching?

"I can expect this medication to turn my skin orange."

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?

"I should stop eating raw clams."

A nurse is providing discharge teaching to the partner of a client who has AIDS. Which of the following statements by the client's partner indicates a need for further teaching?

"I'll clean up blood spills immediately with hot water."

A nurse is assessing a 66 y/o client during a routine physical examination. This is the client's first clinic visit, and she does not have her medical records. When the nurse asks if she has received the pneumococcal immunization, the client replies, "I am not sure, but it's been at least 5 years since I've had any immunizations." Which of the following responses should the nurse provide?

"Let's go ahead and give you this immunization."

A nurse is planning discharge teaching for a client who has SLE. Which of the following instructions should the nurse include?

"Monitor your body temperature and report any elevations promptly."

A nurse is teaching a client who has AIDS about the transmission of PCP. Which of the following pieces of info should the nurse include in the teaching?

"PCP results from an impaired immune system."

A nurse is providing teaching to a client who has a new prescription for alprazolam. Which of the following items is a priority for teaching?

"This medication can affect your ability to drive or handle mechanical equipment."

A nurse is teaching a client who has genital herpes about self-management. Which of the following instructions should the nurse include in the teaching?

Apply a warm compress to the lesions

A nurse is evaluating the injection site of a client who had Mantoux skin test 48 hr ago. The nurse finds 10 mm of induration with slight redness. Which of the following conclusions should the nurse make?

Client had an exposure to TB

A nurse is caring for a client who has 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?

"Apply moisturizer after bathing the lesions with warm water."

A nurse is teaching a client who has HIV about how the virus is transmitted. Which of the following statements should the nurse include in the teaching?

"HIV can be transmitted to anyone who has had contact with infected blood."

A nurse is working with an AP who is assigned to bathe a client with herpes zoster. The AP asks the nurse if herpes zoster is contagious. Which of the following responses should the nurse make?

"Herpes zoster is not contagious to people who have had chickenpox."

A nurse in a provider's office is teaching a client with a recent diagnosis of RA who has a new prescription for naproxen tablets. Which of the following statements by the client indicates the need for further teaching?

"I can take this medication with aspirin."

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?

"I should not smoke."

A nurse is providing discharge instructions to a male client who is being treated for genital warts. Which of the following statements indicates that the client understands how to prevent the transmission of this STI?

"I will bring my sexual partner for treatment."

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

"I will need to take methotrexate, even if I'm in remission."

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 will put a mattress cover on my bed."

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 will wash my feet daily and apply lotion, except between my toes."

A nurse is caring for a client who has 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?

"It sounds like you are unsure what you want to say to your partner."

A nurse is providing teaching about foot care to a client who has DM. Which of the following pieces of info should the nurse include in the teaching?

"Wash your feet daily using lukewarm water and soap."

A nurse is providing 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?

"Wash your genitalia using an antimicrobial soap."

A nurse is teaching a client who haws HIV about early manifestations of AIDS. Which of the following statements should the nurse include in the teaching?

"You can expect a persistent fever and swollen glands"

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?

"You can suck on popsicles to numb your mouth."

A nurse in a clinic is assessing a client who was diagnosed with mononucleosis 2 weeks ago. Which of the following findings should the nurse report to the provider immediately?

Abdominal pain in the left upper quadrant

A nurse is providing discharge teaching to a client who has HIV. Which of the instructions about infection prevention should the nurse include?

Avoid large gatherings of people. Clean toothbrush by running through the dishwasher. Avoid digging in the garden.

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?

Avoid salty foods

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?

Baked chicken

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?

Bananas

A nurse is caring for a client who is suspected to have TB. Which of the following findings should the nurse expect?

Blood-streaked sputum

A nurse is planning care for a client who has acute SLE and is scheduled to begin treatment for systemic manifestations. Which of the following types of medications should the nurse plan to administer?

Corticosteroids

A nurse is reviewing the lab data of a client who reports manifestations suggesting SLE. The nurse should expect an increase in which of the following parameters for a client who has SLE?

ESR

A nurse is caring for a client who is 2 days postop. Which of the following findings indicates that the client is developing an infection?

Erythema at the incision site

A nurse is teaching a female client with a new diagnosis of 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?

Exercise

A nurse is teaching a client about preventing the transmission of Hepatitis A. The nurse should identify hep A is transmitted by which of the following routes?

Fecal-oral contamination

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

Finger contractures

A nurse is planning an educational program for a group of young adults about reducing the risk of cervical cancer. Which of the following interventions should the nurse include?

Get the HPV immunization

A nurse is monitoring a newly licensed nurse who is caring for a client. The client has active TB, was placed on airborne precautions, and is scheduled for a chest x-ray. The nurse should instruct the newly licensed nurse to take which of the following actions?

Have the client wear a surgical mask

A nurse is caring for a client who is experiencing an acute exacerbation of RA. The nurse should anticipate that the client's affected joints will require which of the following treatment?

Heat paraffin therapy applied to the client's joints

A nurse is caring for a client who underwent RAST testing due to seasonal allergies. The nurse should anticipate an elevation in which of the following immunoglobulin lab values?

IgE

A nurse is teaching a client about the manifestations of an allergic reaction. The release of histamine causes which of the following reactions?

Increased mucus secretion

A nurse is teaching a client with SLE 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?

Infection

A nurse is admitted a client who has manifestations that suggest TB. Which of the following actions is the nurse's priority?

Initiate airborne precautions

A nurse is caring for a male client who reports a thick ureteral discharge. Which of the following actions should the nurse take?

Obtain a ureteral specimen for culture

A nurse is caring for a client who has psuedomembranous colitis due to C. diff infection. Which of the following interventions is the nurse's priority?

Performing hand hygiene before and after contact with the client

A nurse is caring for a client who is concerned about the possibility of contracting Lyme disease after receiving a tick bite. For which of the following early manifestations of Lyme disease should the nurse assess the client for?

Progressive circular rash

A nurse is teaching a client who has Raynaud's disease. Which of the following pieces of info should the nurse include in the teaching?

Protect against the cold by wearing layers of clothing

A nurse is assessing a client who has Kaposi's sarcoma. Which of the following findings should the nurse expect?

Reddish-purple skin lesions

A nurse is planning care for a client. Which of the following interventions should the nurse include in the plan?

Restrict visitors

A nurse is reviewing the lab 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 lab values can indicate arthritis?

Rheumatoid factor

A nurse is caring for a client who has HIV. Which of the following types of isolation should the nurse implement to prevent the transmission of HIV?

Standard precautions

A nurse is preparing to administer a Mantoux skin test to a client. What is the purpose of a Mantoux skin test using PPD?

To identify if a client has been infected with Mycobacterium tuberculosis

A nurse is assessing a client who has an exacerbation of herpes zoster. Which of the following manifestations of the client's skin should the nurse expect?

Unilateral, localized, nodular skin lesions

A nurse is conducting dietary teaching for a client who has AIDS. Which of the following instructions should the nurse include in the teaching?

Use a separate cutting board for poultry

A nurse is caring for a client with c. diff who has contact isolation precautions in place. Which of the following actions should the nurse perform?

Use dedicates equipment for the client