MedSurg Quiz #8

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

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

The nurse is caring for a client exposed to peanuts with a known allergy. What assessment is considered the most serious manifestation of angioedema? A) Laryngeal swelling B) Conjunctivitis C) Urticaria D) Abdominal pian

A) Laryngeal swelling

A nurse is caring for a client hospitalized with AIDS. A friend comes to visit the client and privately asks the nurse about the risk of contracting HIV when visiting the client. What is the nurse's best response? A) "Your immune system is likely very healthy." B) "AIDS isn't transmitted by casual contact." C) "You can't normally contract AIDS in a hospital setting." D) "Do you think that you might already have HIV?"

B) "AIDS isn't transmitted by casual contact."

What type of immunoglobin is most likely involved with allergic reactions? A) IgG B) IgE C) IgM D) IgA

B) IgE

A client with severe combined immunodeficiency disease is receiving immunosuppression therapy to ensure engraftment of depleted bone marrow during transplantation procedures. What is the priority nursing care for this client? A) Daily weight measurements and strict monitoring of intake and output B) Meticulous infection control precautions C) Daily oral assessment and oral care every 4 hours D) Continuous monitoring of cardiac status

B) Meticulous infection control precautions

A client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct? A) "OA is more common in women, RA is more common in men." B) "OA and RA are very similar. OA affects the smaller joints and RA affects the larger, weight bearing joints." C) "OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints." D) "OA affects joints on both sides of the body, RA is usually unilateral."

C) "OA is noninflammatory joint disease. RA is characterized by inflamed, swollen joints."

A nurse is collecting objective data for a client with AIDS. The nurse observes white plaques in the client's oral cavity, on the tongue, and buccal mucosa. What does this finding indicate? A) Kaposi's sarcoma B) Hairy leukoplakia C) Candidiasis (thrush) D) Coccidioidomycosis

C) Candidiasis (thrush)

A client is admitted to the hospital with a diagnosis of pernicious anemia. The nurse should prepare to administer which of the following medications? A) Lactulose B) Folic acid C) Pernicious anemia D) Magnesium sulfate

C) Pernicious anemia

A client with anemia has been admitted to the medical-surgical unit. Which assessment findings are characteristic of iron deficiency anemia? A) Itching, rash, and jaundice B) Night sweats, weight loss, and diarrhea C) Nausea, vomiting, and anorexia D) Dyspnea, tachycardia, and pallor

D) Dyspnea, tachycardia, and pallor

A client is seen in the emergency department with severe pain related to a sickle cell crisis. What does the nurse understand is occurring with this client? A) Overhydration enlarges the red blood cells B) Bone marrow decreases the erythrocyte production causing decrease in hypoxia C) The client has a decreased tolerance of pain related to the chronic nature of the illness D) Vascular occlusion in small vessels decreasing blood and oxygen to the tissues

D) Vascular occlusion in small vessels decreasing blood and oxygen to the tissues