davisedge

The registered nurse is teaching a client diagnosed with type IV hypersensitivity. Which statements made by the client indicate effective teaching? Select all that apply.

"I will wear a medical alert bracelet.", "I will use an EpiPen if there is an allergic response."

A registered nurse is teaching a group of nursing students about osteoarthritis (OA). Which statement made by the nursing student about the clinical manifestations of OA indicates a need for further discussion?

"The pain improves with increased physical activity."

The nurse is caring for a client who is receiving chemotherapy for leukemia. Which treatment is likely to be initiated if the client develops neutropenic fever?

. Administration of intravenous antibiotics

Which drug used to treat fibromyalgia acts by inhibiting norepinephrine and serotonin reuptake?

. Duloxetine

Which precautions should the nurse take when caring for a client with thrombocytopenia? Select all that apply. .

. Ensuring the client's room is clutter free Refraining from administering enemas or suppositories Using venous access devices for frequent blood draws

What is the normal range for lymphocytes in an adult's complete blood cell count?

25% to 33%

Which client is at highest risk of death due to X-linked agammaglobulinemia if untreated?

A 4-year-old male client

The nurse is caring for a client with Graves' disease. Arrange the events in the order that they lead to this condition.

An autoantibody binds to the thyroid stimulating hormone receptor sites on the thyroid gland. The action of the binding results in the stimulation of the thyroid cells to produce thyroid hormones. The normal feedback system does not work to stop the overproduction of thyroid hormones. Therefore, the client begins to exhibit severe hyperthyroidism.

What is true regarding osteophytes?

An osteophyte is a projection of new cartilage and bone growth.

A client who is exposed to animal dander reports nasal discharge and watering eyes. The nurse observes edema around the mouth and eyes. Which medications would be most beneficial in relieving the client's symptoms? Select all that apply.

Antihistamines, Decongestants

Which drug increases uric acid levels when given to a client who is diagnosed with gout?

Aspirin

The client diagnosed with rheumatoid arthritis was prescribed leflunomide. How does the drug show its antiinflammatory effects?

By inhibiting pyrimidine synthesis

The laboratory reports of a client with immunodeficiency reveals hypofunction of parathyroid gland and adrenal cortex. Which type of immunodeficiency does this most likely reflect?

Chronic mucocutaneous candidiasis

Which client is most at risk for pneumonia caused by Neisseria meningitis?

Client with IgG subclass deficiency

The fluorescence in situ hybridization results in a client reveals submicroscopic deletion of chromosome 22. Which signs or symptoms is this client most likely to show? Select all that apply.

Delayed speech development, . Bluish skin, Twitching around mouth and in hands

Which action is most beneficial in preventing latex-induced reactions in clients? Select all that apply.

Ensure the rubber of the stethoscope does not touch the client's body. Cover skin with a cloth before applying blood pressure cuff. Refrain from injecting through rubber ports on IV tubing.

The nurse is caring for a client with an environmental allergy. Which white blood cells (WBCs) are most likely to respond to this allergic reaction?

Eosinophils

Which disease is not an auto-immune disorder and causes cognitive dysfunction?

Fibromyalgia

A client who was diagnosed with systemic lupus erythematosus (SLE) 6 months ago arrived at the hospital for a regular checkup. The nurse anticipates the priority assessment would be performing the eye examination. Which medication in the treatment led the nurse to this decision?

Hydroxychloroquine

The nurse is caring for a client receiving immunosuppressive therapy. Which assessment findings indicate the presence of an infection? Select all that apply.

Hypotension and tachycardia, . Presence of increased leukocytes Adventitious breath sounds, . Presence of lesions on the skin

Which best describes an antigen?

It is a foreign protein that stimulates an immune response.

Which is true regarding rheumatoid arthritis (RA)? Select all that apply.

It is an auto-immune disease.It affects the wrists, elbows, ankles, and knees., It includes systemic organ involvement.

Which is true regarding primary immune dysfunction?

It results from inherited defects in complement system.

Which is true regarding osteoarthritis (OA)? Select all that apply.

It results in morning stiffness that lasts for less than 30 minutes., . It affects large weight-bearing joints like the hips and knees

What is an initial clinical manifestation of gout?

Pain in the metatarsophalangeal joint

The condition of a client with type I hypersensitivity progresses to anaphylactic shock and then respiratory arrest. Which intervention is of highest priority for this client?

Performing endotracheal intubation

What should the nurse teach a client who is receiving immunosuppressive therapy? Select all that apply.

Practice good hand washing., Refrain from keeping turtles or reptiles as pets., Take antibiotics or antivirals as prescribed.The nurse is caring for a client receiving immunosuppressive therapy.

What is the first intervention that should be provided to treat type III hypersensitivity?

Removal of the offending drug

. The nurse is assessing a client with osteoarthritis who also has a history of jaundice and acute kidney failure. Which drug would be beneficial for the client?

Salsalate

Which laboratory parameter, when decreased, is correlated with increased disease severity of rheumatoid arthritis?

Serum creatinine

The nurse is caring for a client diagnosed with osteoarthritis. Which clinical manifestations does the nurse suspect in the client? Select all that apply.

Severe joint pain, Stiffness of the joints, Formation of edema at the joints

The nurse is assessing an infant at a well-baby clinic. Which assessment finding does the nurse identify as a warning sign of primary immune deficiency?

The infant has recurrent deep skin abscesses.

What is the purpose of using an echocardiogram as a diagnostic tool in a client with systemic lupus erythematosus (SLE)?

To assess for pericardial involvement and elevated pulmonary artery pressure.

Which is most appropriate for the nurse to teach a client with leukemia who has developed thrombocytopenia? Select all that apply.

To use a soft-bristle toothbrush to clean the teeth To use an electric razor for shaving . To apply direct pressure on a laceration for at least 5 minutes

A client with severe anemia who has type A blood receives blood from a donor with type AB blood. Which type of hypersensitivity reaction will most likely be seen in this client?

Type II

Which type of hypersensitivity reaction will occur due to formation of autoantibodies to acetylcholine receptors on the neuromuscular endplates?

Type II

Which treatment is most likely to be prescribed for a client with sclerodermic telangiectasias?

laser therapy

Which is formed from plasma that is filtered by the blood capillaries?

lymph

The registered nurse is teaching a nursing student about the risk factors for developing osteoarthritis. Which risk factor stated by the nursing student is a modifiable risk factor?

obesity

The nurse recognizes hyperextension of the proximal interphalangeal joint of the thumb finger in a client. What does the nurse suspect?

swan neck deformity

Which diagnostic tool is most likely used to assess for joint damage in a 70-year-old client with systemic lupus erythematosus (SLE)?

x ray