Immune Disorders

Which option should the nurse encourage to replace fluid and electrolyte losses in a client with AIDS? a. Gluten b. Liquids c. Iron and zinc d. Sucrose

b. Liquids

While caring for a patient with pneumocystis pneumonia, the nurse assesses flat, purplish lesions on the back and trunk. What does the nurse suspect these lesions indicate? a. Tuberculosis of the skin b. Molluscum contagiosum c. Kaposi's sarcoma d. Seborrheic dermatitis

c. Kaposi's sarcoma

The nurse is preparing to administer a medication that has an affinity for H1 receptors. Which medication would the nurse administer? a. Omeprazole b. Nizatidine c. Cimetidine d. Diphenhydramine

d. Diphenhydramine

A nurse should advise a client with gout to avoid which foods? a. Fruits and juices b. Bread and cereal c. Nuts and peanut butter d. Organ meats and scallops

d. Organ meats and scallops

Fibromyalgia is a common condition that involves a. diminished vision, chronic fatigue, and reduced appetite. b. generalized muscle aching, mood swings, and loss of balance. c. pain, viral infection, and tremors. d. chronic fatigue, generalized muscle aching, and stiffness.

d. chronic fatigue, generalized muscle aching, and stiffness.

A client asks the nurse how to identify rheumatoid nodules with rheumatoid arthritis. What characteristic will the nurse include? a. tender to the touch b. nonmovable c. reddened d. located over bony prominence

d. located over bony prominence

A client asks a nurse, "What can I use to decrease my risk of exposure to HIV?" What will the nurse include as effective in reducing the risk of HIV exposure? Select all that apply. a. Polyurethane female condoms b. Dental dams c. Sexual abstinence d. Lambskin condoms e. Latex male condoms

a, b, c, e

Which intervention is the single most important aspect for the client at risk for anaphylaxis? a. Wearing a medical alert bracelet b. Prevention c. Desensitization d. Use of antihistamines

b. Prevention

The nurse is caring for a client who is being treated for fibromyalgia. What intervention will best assist the client to restore normal sleep patterns? a. Administering opioids at bed time b. Tricyclic antidepressants c. Increasing activity during the day d. Range-of-motion exercise before sleeping

b. Tricyclic antidepressants

A client with lupus has had antineoplastic drugs prescribed. Why would the physician prescribe antineoplastic drugs for an autoimmune disorder? a. Because an autoimmune disease is a neoplastic disease b. To decrease the body's risk of infection c. So the client has strong drug therapy d. For their immunosuppressant effects

d. For their immunosuppressant effects

Which term indicates an accumulation of crystalline depositions in articular surfaces, bones, soft tissue, and cartilage? a. Pannus b. Subchondral bone c. Joint effusion d. Tophi

d. Tophi

A client is prescribed didanosine as part of a highly active antiretroviral therapy (HAART). Which instruction would the nurse emphasize with this client? a. "You should take the drug with an antacid." b. "When you take this drug, eat a high-fat meal immediately afterwards." c. "Be sure to take this drug about 1/2 hour before or 2 hours after you eat." d. "It doesn't matter if you take this drug with or without food."

c. "Be sure to take this drug about 1/2 hour before or 2 hours after you eat."

A client is diagnosed with multiple site cancers and has received whole-body irradiation. The nurse is concerned about a compromised immune system in this client for which reason? a. Radiation causes a deficiency of circulating hemoglobin. b. Radiation causes an excess of circulating hemoglobin. c. Radiation destroys lymphocytes. d. Radiation causes an excess of circulating lymphocytes.

c. Radiation destroys lymphocytes.

The nurse is teaching a client about rheumatic disease. What statement best helps to explain autoimmunity? a. "You are not immune to the disease causing the symptoms." b. "You have inherited your parent's immunity to the disease." c. "You have antigens to the disease, but they do not prevent the disease." d. "Your symptoms are a result of your body attacking itself."

d. "Your symptoms are a result of your body attacking itself."

A nurse is preparing an in-service presentation about human immunodeficiency virus (HIV) for a group of new graduate nurses, including the steps in the process of HIV entering the host cell. What would the nurse describe as the first step? a. Cleavage b. Uncoating c. Budding d. Attachment

d. Attachment

The nurse practitioner who is monitoring the patient's progression of HIV is aware that the most debilitating gastrointestinal condition found in up to 90% of all AIDS patients is: a. Oral candida. b. Anorexia. c. Nausea and vomiting. d. Chronic diarrhea.

d. Chronic diarrhea.

A client is admitted to the hospital with a diagnosis of pneumonia. The client informs the nurse that he has several drug allergies. The physician has ordered an antibiotic as well as several other medications for cough and fever. What should the nurse do prior to administering the medications? a. Call the pharmacy and let them know the client has several drug allergies. b. Administer the medications that the physician ordered. c. Give the client one medicine at a time and observe for allergic reactions. d. Consult drug references to make sure the medicines do not contain substances which the client is hypersensitive.

d. Consult drug references to make sure the medicines do not contain substances which the client is hypersensitive.

The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. What would the nurse expect to find? a. Increased albumin levels b. Increased red blood cell count c. Increased C4 complement d. Elevated erythrocyte sedimentation rate

d. Elevated erythrocyte sedimentation rate

A client with acquired immune deficiency syndrome (AIDS) is brought to the clinic by a family member. The family member tells the nurse the client has become forgetful, with a limited attention span, decreased ability to concentrate, and delusional thinking. What condition is represented by these symptoms? a. Cytomegalovirus (CMV) b. Distal sensory polyneuropathy (DSP) c. Candidiasis d. HIV encephalopathy

d. HIV encephalopathy

Which points should be included in the medication teaching plan for a client taking adalimumab? a. The medication is administered intramuscularly. b. The client should continue taking the medication if fever occurs. c. The medication is given at room temperature. d. It is important to monitor for injection site reactions.

d. It is important to monitor for injection site reactions.

A client with suspected exposure to HIV has been tested with the enzyme-linked immunosorbent assay (ELISA) with positive results twice. The next step for the nurse to explain to the client for confirmation of the diagnosis is to perform a: a. polymerase chain reaction test for confirmation of diagnosis. b. Western blot test for confirmation of diagnosis. c. T4-cell count for confirmation of diagnosis. d. p24 antigen test for confirmation of diagnosis.

b. Western blot test for confirmation of diagnosis.

A client is presenting an anaphylactic response to unknowingly ingesting nuts at a family celebration. What type of hypersensitivity did this client exhibit? a. type II b. type IV c. type I d. type III

c. type I

A patient is experiencing an allergic reaction to a dose of penicillin. What should the nurse look for in the patient's initial assessment? a. Hypotension and tachycardia b. The severity of cutaneous warmth and flushing c. The presence and location of pruritus d. Dyspnea, bronchospasm, and/or laryngeal edema.

d. Dyspnea, bronchospasm, and/or laryngeal edema.

The nursing students are learning about the immune system in their anatomy and physiology class. What would these students learn is a component of the immune system? a. Red blood cells b. Stem cells c. Cytokines d. Lymphoid tissues

d. Lymphoid tissues

The lower the client's viral load, a. the shorter the time to AIDS diagnosis. b. the longer the survival time. c. the longer the time immunity. d. the shorter the survival time.

b. the longer the survival time.

What is the priority intervention for a client who has been admitted repeatedly with attacks of gout? a. Place client on bed rest b. Increase fluids c. Assess diet and activity at home d. Insert a Foley catheter

c. Assess diet and activity at home

Which of the following disorders is characterized by an increased autoantibody production? a. Polymyalgia rheumatic b. Rheumatoid arthritis (RA) c. Systemic lupus erythematosus (SLE) d. Scleroderma

c. Systemic lupus erythematosus (SLE)

When assisting the client to interpret a negative HIV test result, what does the nurse tell the client that this result means? a. The client is immune to the AIDS virus. b. Antibodies to the AIDS virus are in the client's blood. c. The body has not produced antibodies to the AIDS virus. d. The client has not been infected with HIV.

c. The body has not produced antibodies to the AIDS virus.

A nurse is caring for a client with multiple sclerosis. Client education about the disease process includes which explanation about the cause of the disorder? a. The immune system recognizes one's own tissues as "self." b. Regulatory mechanisms fail to halt the immune response. c. Excess cytokines cause tissue damage. d. The immune system recognizes one's own tissues as "foreign."

d. The immune system recognizes one's own tissues as "foreign."

A client that is HIV+ has been diagnosed with Pneumocystis pneumonia caused by P. jiroveci. What medication does the nurse expect that the client will take for the treatment of this infection? a. Amphotericin B b. Fluconazole c. Nystatin d. Trimethoprim-sulfamethoxazole

d. Trimethoprim-sulfamethoxazole

Nursing care for the client with fibromyalgia should be guided by the assumption that patients with fibromyalgia a. rarely respond to treatment. b. all have the same type of symptoms. c. will eventually lose their ability to walk. d. may feel as if their symptoms are not taken seriously.

d. may feel as if their symptoms are not taken seriously.

What education should the nurse provide to the patient taking long-term corticosteroids? a. The patient should discontinue using the drug immediately if weight gain is observed. b. The patient should not stop taking the medication abruptly and should be weaned off of the medication. c. Corticosteroids are relatively safe drugs with very few side effects. d. The patient should take the medication only as needed and not take it unnecessarily.

b. The patient should not stop taking the medication abruptly and should be weaned off of the medication.

A client is prescribed an oral corticosteroid for 2 weeks to relieve asthma symptoms. The nurse educates the client about side effects, which include a. diuresis. b. adrenal suppression. c. hypoglycemia. d. hypotension.

b. adrenal suppression.

The nurse is reviewing the medication administration record of the client. Which medication would lead the nurse to suspect that the client is suffering from an acute attack of gout? a. prednisone b. colchicine c. penicillamine d. methotrexate

b. colchicine

The nurse is working with a client with allergies. What will the nurse use to confirm allergies and decrease the risk of anaphylaxis? a. peripheral blood smears b. intradermal testing c. nasal smear d. punch biopsy

b. intradermal testing

The nurse working in an allergy clinic is preparing to administer skin testing to a client. Which route is the safest for the nurse to use to administer the solution? a. Subcutaneous b. Intramuscular c. Intradermal d. Intravenous

c. Intradermal

The nurse is teaching a client how to self-administer epinephrine using an EpiPen autoinjector. What information should be included in the teaching? Select all that apply. a. After administering the injection, massage the area for 10 seconds. b. Grasp the EpiPen autoinjector pointing upward. c. Hold the EpiPen autoinjector against the thigh for 10 seconds. d. Jab the EpiPen autoinjector firmly into the outer thigh. e. The needle should be at a 30 degree angle. f. The buttocks can be used as an injection site.

a, c, d

A client is experiencing an acute exacerbation of rheumatoid arthritis. What should the nursing priority be? a. Administering ordered analgesics and monitoring their effects b. Supplying adaptive devices, such as a zipper-pull, easy-to-open beverage cartons, lightweight cups, and unpackaged silverware c. Performing meticulous skin care d. Providing comprehensive client teaching; including symptoms of the disorder, treatment options, and expected outcomes

a. Administering ordered analgesics and monitoring their effects

A 20-year-old client cut a hand while replacing a window. While reviewing the complete blood count (CBC) with differential, the nurse would expect which cell type to be elevated first in an attempt to prevent infection in the client's hand? a. B cells b. Eosinophils c. Neutrophils d. Monocytes

c. Neutrophils

The nurse is performing a health history with a new client in the clinic. What is the MOST common reason for a client to seek medical attention for arthritis? a. stiffness b. weakness c. pain d. joint swelling

c. pain

What is the function of the thymus gland? a. Produce stem cells b. Programs B lymphocytes to become regulator or effector B cells. c. Develop the lymphatic system d. Programs T lymphocytes to become regulator or effector T cells.

d. Programs T lymphocytes to become regulator or effector T cells.

A client is recovering from an attack of gout. What will the nurse include in the client teaching? a. Weight loss will increase uric acid levels and reduce stress on joints. b. Weight loss will reduce purine levels. c. Weight loss will reduce inflammation. d. Weight loss will reduce uric acid levels and reduce stress on joints.

d. Weight loss will reduce uric acid levels and reduce stress on joints.

The nurse observes diffuse swelling involving the deeper skin layers in a client who has experienced an allergic reaction. The nurse would correctly document this finding as a. urticaria. b. contact dermatitis. c. pitting edema. d. angioneurotic edema.

d. angioneurotic edema.

A nurse is preparing a client with systemic lupus erythematosus (SLE) for discharge. Which instruction should the nurse include in the teaching plan? a. "There are no activity limitations between flare-ups." b. "Exposure to sunlight will help control skin rashes." c. "Monitor your body temperature." d. "Corticosteroids may be stopped when symptoms are relieved."

c. "Monitor your body temperature."

The nurse is discussing life management with the client with rheumatoid arthritis in a health clinic. What assessment finding indicates the client is having difficulty implementing self-care? a. decreased joint pain b. ability to perform activities of daily living (ADL) c. increased fatigue d. a weight gain of 2 pounds

c. increased fatigue

A client is diagnosed with systemic lupus erythematosus (SLE). What is the most appropriate action for the nurse to take in order to evaluate the client's stage of disease? a. Review the client's medical record. b. Inspect the client's mouth. c. Auscultate the client's lung sounds. d. Observe the client's gait.

a. Review the client's medical record.

A client is taking a corticosteroid for the treatment of systemic lupus erythematosus. When the nurse is providing instructions about the medication to the client, what priority information should be included? a. This medication is commonly used for many inflammatory reactions and is relatively safe. b. The client should be alert for joint aches. c. If the client experiences nausea, omit the dose. d. Be alert for signs and symptoms of infection and report them immediately to the physician.

d. Be alert for signs and symptoms of infection and report them immediately to the physician.

Which condition is associated with impaired immunity relating to the aging client? a. Increase in peripheral circulation b. Increase in humoral immunity c. Decrease in inflammatory cytokines d. Breakdown and thinning of the skin

d. Breakdown and thinning of the skin

Which is a primary chemical mediator of hypersensitivity? a. Heparin b. Bradykinin c. Serotonin d. Histamine

d. Histamine

Which allergic reaction is potentially life threatening? a. urticaria b. None of the listed allergic reactions is potentially life threatening. c. contact dermatitis d. angioedema

d. angioedema

The nurse is performing discharge teaching for a client with rheumatoid arthritis. What teachings are priorities for the client? Select all that apply. a. Assistive devices b. Medication dosages and side effects c. Safe exercise d. Dressing changes e. Narcotic safety

a, b, c

The nurse is talking with a group of teens about transmission of human immunodeficiency virus (HIV). What body fluids does the nurse inform them will transmit the virus? Select all that apply. a. breast milk b. urine c. vaginal secretions d. semen e. blood

a, c, d, e

The nurse is taking the health history of a newly admitted client. Which condition would place the client at risk for impaired immune function? a. Previous organ transplantation b. Surgical removal of the appendix c. Negative history for radiation therapy d. Surgical history of a partial gastrectomy

a. Previous organ transplantation

A client with HIV will be started on a medication regimen of three medications. What class of drugs will the nurse instruct the client about? a. Reverse transcriptase inhibitors b. Hydroxyurea c. Anticholinergics d. Disinhibitors

a. Reverse transcriptase inhibitors

A client in a late stage of acquired immunodeficiency syndrome (AIDS) shows signs of AIDS-related dementia. Which nursing diagnosis takes highest priority? a. Risk for injury b. Complicated grieving c. Ineffective cerebral tissue perfusion d. Bathing or hygiene self-care deficit

a. Risk for injury

A nurse is reviewing the dietary history of a client who has experienced anaphylaxis. What would the nurse identify as a common cause of anaphylaxis? Select all that apply. a. Beef b. Milk c. Shrimp d. Eggs e. Chicken

b, c, d

A nursing student is preparing a teaching plan for a client with an immunodeficiency disorder. The student is going to include the cardinal symptoms in teaching. Which of the following would the student include? Choose all that apply. a. Facial edema b. Chronic or recurrent severe infections c. Chronic fatigue d. Chronic diarrhea e. Poor response to treatment of infections

b, d, e

A client with rheumatoid arthritis informs the nurse that since he has been in remission and not having any symptoms, he doesn't need to take his medication any longer. What is the best response by the nurse? a. "As long as you are not having symptoms, you can take a medication vacation." b. "It is important that you continue to take your medication to avoid an acute exacerbation." c. "Be sure to let the physician know after you stop your medications." d. "If you don't take your medication, you will become very ill."

b. "It is important that you continue to take your medication to avoid an acute exacerbation."

A nurse comes to the employee health center for evaluation and is diagnosed with allergic contact dermatitis related to latex. What manifestation would the nurse most likely exhibit? a. Angioedema b. Blistering c. Rhinitis d. Laryngeal edema

b. Blistering

Which body substance causes increased gastric secretion, dilation of capillaries, and constriction of the bronchial smooth muscle? a. Prostaglandin b. Histamine c. Serotonin d. Bradykinin

b. Histamine

The nurse tells the client that if exposure to an allergen occurs around 8:00 AM, then the client should expect a mild or moderate reaction by what time? a. 3:00 pm b. 11:00 am c. 10:00 am d. 1:00 pm

c. 10:00 am

A laboring mother asks the nurse if the baby will have immunity to some illnesses when born. What type of immunity does the nurse understand that the newborn will have? a. Naturally acquired active immunity b. There is no immunity passed down from mother to child. c. Passive immunity transferred by the mother d. Artificially acquired active immunity

c. Passive immunity transferred by the mother

What type of immunoglobulin does the nurse recognize that promotes the release of vasoactive chemicals such as histamine when a client is having an allergic reaction? a. IgA b. IgM c. IgG d. IgE

d. IgE

A patient asks the nurse if it would be all right to take an over-the-counter antihistamine for the treatment of a rash. What should the nurse educate the patient is a major side effect of antihistamines? a. anorexia b. diarrhea c. palpitations d. sedation

d. sedation

The nurse is teaching a newly diagnosed client about systemic lupus erythematosus(SLE). What statement by the client indicates the teaching was successful? a. "The belief is that it is an autoimmune disorder with an unknown trigger." b. "The symptoms are primarily localized to the skin but may involve the joints." c. "SLE has very specific manifestations that make diagnosis relatively easy." d. "This disorder is more common in men in their thirties and forties than in women."

a. "The belief is that it is an autoimmune disorder with an unknown trigger."

As part of the assessment process for a client suspected of having gout, the nurse evaluated the client's serum uric acid levels. Select the value that is considered above the saturation point for crystal formation. a. 4.0 mg/dL (0.24 mmol/L) b. 6.8 mg/dL (0.40 mmol/L) c. 5.4 mg/dL (0.32 mmol/L) d. 3.2 mg/dL (0.19mmol/L)

b. 6.8 mg/dL (0.40 mmol/L)

A client has had a splenectomy after sustaining serious internal injuries in a motorcycle accident, including a ruptured spleen. Following removal of the spleen, the client will be susceptible to: a. anemia because the spleen produces red blood cells. b. bleeding because the spleen synthesizes vitamin K. c. infection because the spleen removes bacteria from the blood. d. acidosis because the spleen maintains acid-base balance.

c. infection because the spleen removes bacteria from the blood.

A client suspected of having systemic lupus erythematosus (SLE) is being scheduled for testing. The client asks which of the tests ordered will determine positivity for the disorder. Which statement by the nurse is most accurate? a. "Tell me more about your concerns about this potential diagnosis." b. "You should discuss that matter with your health care provider." c. "The diagnosis won't be based on the findings of a single test but by combining all data found." d. "SLE is a very serious systemic disorder."

c. "The diagnosis won't be based on the findings of a single test but by combining all data found."

The nurse is caring for a client with rheumatoid arthritis who suffers with chronic pain in the hands. When would be the best time for the nurse to perform range-of-motion exercises? a. After the client has a diagnostic test b. First thing in the morning when the client wakes c. After the client has had a warm paraffin hand bath d. After cool compresses have been applied to the hands

c. After the client has had a warm paraffin hand bath

A client who is being treated for complications related to acquired immunodeficiency disorder syndrome (AIDS) is receiving interferon parenterally as adjunctive therapy. Why does the nurse understand this route is being used? a. The medication, given orally, will cause diarrhea. b. The taste of the medication is not palatable. c. Digestive enzymes destroy its protein structure. d. The medication will work more rapidly parenterally.

c. Digestive enzymes destroy its protein structure.

The nurse is caring for a client who has a diagnosis of human immunodeficiency virus (HIV). Part of this client's teaching plan is educating the client about his or her medications. What is essential for the nurse to include in the teaching of this client regarding medications? a. The action of each antiretroviral drug b. What vaccinations to have c. Side effects of drug therapy d. The use of condoms

c. Side effects of drug therapy

A client has been diagnosed with HIV and has been placed on antiretroviral therapy. What does the nurse inform the client will be required for determining the progression of the disease as well as guiding drug therapy? a. The Western blot test will be monitored every 6 months to see if the virus is still present. b. The client will be required to stop the medication for 2 weeks and then have laboratory studies drawn to determine if the antiretroviral therapy has cured the disease. c. Viral load and T4-cell counts will be performed every 2 to 3 months. d. More antiretroviral medication will be added every 2 to 3 months.

c. Viral load and T4-cell counts will be performed every 2 to 3 months.

A nurse is teaching a client about rheumatoid arthritis. Which statement by the client indicates understanding of the disease process? a. "I'll definitely need surgery for this." b. "When it clears up, it will never come back." c. "It will get better and worse again." d. "It will never get any better than it is right now."

c. "It will get better and worse again."

The nurse is discussing the new medication that a client will be taking for treatment of rheumatoid arthritis. Which disease-modifying antirheumatic drug (DMARD) will the nurse educate the client about? a. Methylprednisolone (Medrol) b. Methotrexate (Rheumatrex) c. Etanercept (Enbrel) d. Infliximab (Remicade)

b. Methotrexate (Rheumatrex)

Kaposi sarcoma (KS) is diagnosed through a. visual assessment. b. computed tomography. c. biopsy. d. skin scraping.

c. biopsy.

Which condition is the leading cause of disability and pain in the elderly? a. Scleroderma b. Osteoarthritis (OA) c. Rheumatoid arthritis (RA) d. Systemic lupus erythematous (SLE)

b. Osteoarthritis (OA)

The nurse is teaching a group of health care workers about latex allergies. What reaction will the nurse teach the workers to be most concerned about with laryngeal edema? a. irritant contact b. allergic contact c. IgE-mediated hypersensitivity d. IgG antibodies

c. IgE-mediated hypersensitivity

A nurse assesses a client in the health care provider's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)? a. Weight gain, hypervigilance, hypothermia, and edema of the legs b. Photosensitivity, polyarthralgia, and painful mucous membrane ulcers c. Hypothermia, weight gain, lethargy, and edema of the arms d. Facial erythema, pericarditis, pleuritis, fever, and weight loss

d. Facial erythema, pericarditis, pleuritis, fever, and weight loss

A client arrives at the clinic with reports of pain in the left great toe. The nurse assesses a swollen, warm, erythematous left great toe. What disorder will the nurse relate the client symptoms to? a. Rheumatoid arthritis b. Fibromyalgia c. Osteoarthritis d. Gout

d. Gout

Which joint is MOST commonly affected in gout? a. Ankle b. Metatarsophalangeal c. Knee d. Tarsal area

b. Metatarsophalangeal

A health care provider orders tests to determine if a client has systemic lupus erythematosus (SLE). Which test result helps to confirm an SLE diagnosis? a. Negative lupus erythematosus cell test b. Increased total serum complement levels c. Negative antinuclear antibody test d. An above-normal anti-deoxyribonucleic acid (DNA) test

d. An above-normal anti-deoxyribonucleic acid (DNA) test

The nurse is teaching a client after a medication allergic reaction has occurred. What is the MOST important action for the nurse to teach the client to take to prevent anaphylaxis? a. Carry an emergency kit. b. Wear a medical alert bracelet. c. Undergo desensitization treatment. d. Avoid potential allergens.

d. Avoid potential allergens.

Ibuprofen affects the immune system by causing a. neutropenia. b. hemolytic anemia. c. pancytopenia. d. thrombocytopenia.

a. neutropenia.

A patient is hospitalized with a severe case of gout. The patient has gross swelling of the large toe and rates pain a 10 out of 10. With a diagnosis of gout, what should the laboratory results reveal? a. Hyperuricemia b. Glucosuria c. Ketonuria d. Hyperproteinuria

a. Hyperuricemia

A patient has enlarged lymph nodes in his neck and a sore throat. This inflammatory response is an example of a cellular immune response whereby: a. Lymphocytes migrate to areas of the lymph node b. Antibodies reside in the plasma c. B-lymphocytes respond to a specific antigen d. Antibodies are released into the bloodstream

a. Lymphocytes migrate to areas of the lymph node

A diet plan is developed for a client with gouty arthritis. What should the nurse advise the client to limit the intake of? a. organ meats b. green vegetables c. fresh fish d. citrus fruits

a. organ meats

Which client is most likely to develop systemic lupus erythematosus (SLE)? a. A 25-year-old Jewish female b. A 27-year-old Black female c. A 25-year-old White male d. A 35-year-old Hispanic male

b. A 27-year-old Black female

A client has a serum study that is positive for the rheumatoid factor. What will the nurse tell the client about the significance of this test result? a. It is diagnostic for systemic lupus erythematosus. b. It is suggestive of rheumatoid arthritis. c. It is specific for rheumatoid arthritis. d. It is diagnostic for Sjögren's syndrome.

b. It is suggestive of rheumatoid arthritis.

The nurse is teaching a client about chemical mediators released during an allergic response. What substance will the nurse explain as a primary mediator? a. prostaglandins b. leukotrienes c. bradykinin d. serotonin

a. prostaglandins

After teaching a client how to self-administer epinephrine, the nurse determines that the teaching plan has been successful when the client demonstrates which action? a. Avoids massaging the injection site after administration b. Jabs the autoinjector into the outer thigh at a 90-degree angle c. Pushes down on the grey release cap to administer the medication d. Maintains pressure on the auto-injector for about 30 seconds after insertion

b. Jabs the autoinjector into the outer thigh at a 90-degree angle

A client is prescribed antihistamines, and asks the nurse about administration and adverse effects. The nurse should advise the client to avoid: a. applying skin moisturizers b. alcohol c. exposure to sunlight d. seafood

b. alcohol

Which assessment suggests to the nurse that a client with systemic lupus erythematous is having renal involvement? a. Behavioral changes b. Chest pain c. Decreased cognitive ability d. Hypertension

d. Hypertension

A client develops a facial rash and urticaria after receiving penicillin. Which laboratory value does the nurse expect to be elevated? a. IgB b. IgG c. IgA d. IgE

d. IgE