Medical-Surgical: Immune and Infectious

A nurse is collecting data from a client who is concerned about the possibility of the contracting Lyme disease after being bitten by a tick. For which of the following early manifestations of Lyme disease should the nurse monitor the client?

A progressive, circular rash

A nurse is collecting data from a client who is experiencing an acute exacerbation of rheumatoid arthritis. The nurse should anticipate that the client's affected joints will require which of the following treatments?

Heat paraffin therapy applied to the client's hands

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

Skin tightening

A nurse is reinforcing teaching with a client who is HIV positive about the early manifestations of acquired immune deficiency syndrome (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 assisting with the care of a client who has systemic lupus erythematosus (SLE). The client asks the nurse, "What should i do to care for my dry skin?" Which of the following responses should the nurse make?

Apply lotion twice per day to dry skin

A nurse is assisting with the care of 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 reinforcing teaching with 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 requires further teaching when she identifies which of the following as a factor that can exacerbate SLE?

Exercise

A nurse is reinforcing teaching with an assistive personnel about standard precautions when caring for a client who has vancomycin resistant Enterococcus of the urine. Which of the following of personal protection equipment should the nurse recommend the AP to use when caring for this client?

Gloves

A nurse is reinforcing teaching with a client who has human immunodeficiency virus 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 reinforcing teaching with an assistive personnel (AP) who is caring for a client who has active pulmonary tuberculosis, was placed on airborne precautions, and is scheduled for a chest x-ray. Which of the following instructions should the nurse include in the teaching?

Have the client wear surgical mask

A nurse is reinforcing teaching with 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 reinforcing teaching with a client who has a new diagnosis of rheumatoid arthritis and 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 reinforcing teaching with a client who has a recent diagnosis of 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 reinforcing teaching with 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 reinforcing teaching with a client who is being treated for genital warts. Which of the following statements indicates that the client understands how to prevent transmission of his sexually transmitted infection (STI)?

I will bring my sexual partner in for treatment

A nurse is reinforcing teaching with a client who has tested positive for an allergy to dust about how to reduce her exposure to the allergen. The nurse should determine that the client understands how to reduce her exposure to the allergen when she states which of the following?

I will install an electrostatic filter in my furnace

A nurse is reinforcing discharge teaching with the partner of a client who has acquired immune deficiency syndrome (AIDS). Which of the following statements by the client's partner indicates the need for further teaching?

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

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 collecting data from a client who had radioallergosorbent (RAST) testing completed due to seasonal allergies. The nurse should anticipate an elevation in which of the following laboratory values?

IgE (immunoglobulin E)

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

Increased mucus secretion

A nurse is caring for a client who test positive for the human immunodeficiency virus. The client asks the nurse, "Should i tell my partner that i HIV positive?" Which of the following is an appropriate nursing response?

It sounds like you are unsure what to say to your partner

A nurse is reinforcing teaching with a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse plan to include in the teaching?

Monitor your body temperature and report any elevations promptly

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

Pour running water over the lesions when urinating

A nurse is reinforcing teaching with 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 collecting data from a client who has Kaposi's sarcoma. Which of the following findings should the nurse expect with this condition?

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 values can indicate arthritis?

Rheumatoid factor

A nurse is assisting with the care of a client who has human immunodeficiency virus. Which of the following types of isolate should the nurse implement to prevent transmission of HIV

Standard precautions

A nurse is collecting data from a client who has an exacerbation of herpes zoster. Which of the following manifestations of the client's skin should the nurse expect to see?

Unilateral, localized, nodular skin lesions

A nurse is reinforcing teaching with a client who has AIDS about preventing infection while at home. Which of the following instructions should the nurse include in the teaching?

Wash genitalia using an antimicrobial soap