Med Surg Immune and Infections 2017
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 caring for a client who has systemic lupus erythematosus (SLE) and is concerned abouth the skin lesions on her face and neck. The client asks the nurse, "What should I do about these spots?" Which of following responses should the nurse give?
"Apply moisturizer after bathing the lesions with warm water."
A nurse is teaching a client who has human immunodeficiency virus about how the virus is transmitted. Which of the following statements should the nurse include the teaching?
"HIV can be transmitted to anyone who has had contact with the infected blood."
A nurse is teaching a client who has tuberculosis 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 in a provider's office is providing teaching to a client who has a recent diagnosis of rheumatoid arthritis and has a new prescription for naproxen tablets. Which of the following statements by the client requires further teaching?
"I can take this medication with aspirin."
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 teaching a client who has tested positive for an allergy to dust. The nurse should determine that the client understands how to reduce her exposure to this allergen when she states which of the following?
"I will apply a mattress cover to my bed."
A nurse is providing discharge instructions to a client who is being treated for genital warts. Which of the following statements indicates that the client understands how to prevent transmission of the sexually transmitted infection (STI)?
"I will bring my sexual partner in for treatment."
A nurse is providing discharge teaching to the partner of a client who has acquired immune deficiency syndrome. Which of the following statements by the client's partner indicate the need for further teaching?
"I'll clean up blood spills immediately with hot water."
A nurse is caring for a client who has human immunodeficiency virus (HIV). The client asks the nurse, "should I tell my partner that I am HIV positive?" Which of the following statements should the nurse give?
"It sounds like you are unsure what to say to your partner."
A nurse is planning discharge teaching for a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse plan to include?
"Monitor your body temperature and report any elevations promptly."
A nurse is teaching a client who has AIDS about the transmission of Pneumocystis jiroveci pneumonia (PCP). Which of the following information should the nurse include in the teaching?
"PCP results from an impaired immune system."
A nurse is providing discharge 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 has human immunodeficiency virus about the early manifestations of acquired immune deficiency syndrome. Which of the following statements should the nurse include in the teaching?
"You can expect a persistent fever and swollen glands."
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?
A progressive, circular rash
A nurse is caring for a client who is 2 days postoperative. Which of the following findings should alert the nurse that the client is developing an infection?
Erythema at the incision site
A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE) about factors that can trigger an exacerbation of SLE. The nurse should determine that the client needs more teaching when she identifies which of the following as a factor that can exacerbate SLE?
Exercise
A nurse is assessing a client who has systemic scleroderma. Which of the following findings should the nurse expect?
Finger contractures
A nurse is monitoring a newly licensed nurse who is caring for a client. The client has active pulmonary tuberculosis, 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 rheumatoid arthritis. The nurse should anticipate that the client's affected joints will requires which of the following treatments?
Heat paraffin therapy applied to the client's joints
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 preparing to administer a Mantoux skin test to a client. The nurse should inform the client that the purpose of a Mantoux skin test using purified protein derivative (PPD) is to do which of the following actions?
Identify if a client has been infected with mycobacterium tuberculosis
A nurse is caring for a client who had radioallergosorbent (RAST) testing completed due to seasonal allergies. The nurse should anticipate and elevation in which of the following laboratory tests?
IgE (immunoglobulin E)
A nurse is teaching a client about manifestations of an allergic reaction. The nurse should explain that histamine release causes which of the following reactions?
Increased mucus secretion
A nurse is teaching a client who has Raynaud's disease. Which of the following information 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 reviewing the laboratory 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 laboratory tests can indicate arthritis?
Rheumatoid factor
A nurse is caring for client who has human immunodeficiency virus. Which of the following types of isolation should the nurse implement to prevent transmission of HIV?
Standard Precautions
A nurse is teaching an assistive personnel about standard precautions when caring for a client who has vancomycin resistant Enterococcus of the urine. Which of the following images of personal protection equipment should the nurse recommend the AP to use when caring for this client?
The nurse should don clean gloves when caring for a client who has vancomycin-resistant enterococcus of the urine. This protects the nurse form coming in contact with bodily fluids contaminated with the bacteria of the client.
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
