EAQ Quiz: Cardiovascular, Hematologic, and Lymphatic Systems; Immunologic System and Infectious Diseases; Adolescents

An HIV-infected pregnant adolescent does not want a cesarean birth. Which finding would indicate the increased risk of perinatal transmission via vaginal birth?

A viral load of 1,200 copies/mL

A client receiving cisplatin therapy developed tumor lysis syndrome (TLS). Which medication would the nurse anticipate administering to this client for treatment of the TLS?

Allopurinal

For which side effects would the nurse monitor in the client receiving methyldopa for hypertension?

Hemolytic anemia

When the primary health care provider prescribes "bathroom privileges only" for a client with an exacerbation of heart failure, the client becomes irritable and asks why bed rest is needed. Which response by the nurse is best?

"Rest reduces the amount of work your heart has to do right now."

An adolescent with comedonal acne has been prescribed tretinoin gel. Which treatment-specific instructions would be given? Select all that apply. One, some, or all responses may be correct.

- Apply the medication at night. - Use a scarf to avoid sun exposure on the face. - Apply a pea-sized dot of medication on the three main areas of the face and gently rub.

When a client is admitted with thrombocytopenia, which nursing actions would be included in the plan of care? Select all that apply. One, some, or all responses may be correct.

- Avoid intramuscular injections. - Examine the skin for ecchymotic areas.

How do adolescents establish family identity during psychosocial development? Select all that apply. One, some, or all responses may be correct.

- By acting independently to make his or her own decisions - By fostering his or her own development within a balanced family structure

Which conditions involve a cytotoxic hypersensitivity reaction? Select all that apply. One, some, or all responses may be correct.

- Graves disease - Myasthenia gravis - Immune thrombocytopenic purpura

An adolescent with a body mass index (BMI) of 30 reports fatigue, frequent urination, and a tingling sensation on the feet. The adolescent is then diagnosed with type 2 diabetes mellitus. Which nursing interventions would be appropriate? Select all that apply. One, some, or all responses may be correct.

- Physical activities - Dietary counseling - Behavior modification

When monitoring a client for hyponatremia, which assessment findings would the nurse consider significant? Select all that apply. One, some, or all responses may be correct.

- Seizures - Confusion

According to Erikson's theory, which behaviors will the nurse notice in 13-year-old students? Select all that apply. One, some, or all responses may be correct.

- Such students want to know "Who am I?" - Such students show a marked preoccupation with body appearance.

When teaching an unlicensed health care worker about blood pressure (BP) measurement, which information will the nurse include? Select all that apply. One, some, or all responses may be correct.

- Support the client's arm at heart level when taking BP. - Have the client rest for 5 minutes before measuring BP.