NUR 211- Exam 2 Practice Questions

A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms? A) Pneumocystis lung infection B) Flu-like symptoms and night sweats C) Fungal and bacterial infections D) Kaposi's sarcoma

B) Flu-like symptoms and night sweats

A Nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? A. Facial rash B. Thickened skin C. Chronic back pain D. Iritis

A. Facial rash

A nurse in an outpatient facility is caring for a client who has HIV and is desiring to have a reading of their Mantoux test 48 hours following administration. What amount of Mantoux test induration (in mm) is considered a positive for this client?

5mm

A nurse is teaching a client who is to begin long-term therapy with prednisone to treat rheumatoid arthritis. The nurse shoudl instruct the client to take which of the following supplements while taking this medication? A. Calcium and Vit D B. Biotin and Vit B2 C. Folic acid and Vit C D. Pantothenic acid and Vit B6

A. Calcium and Vit D rationale: Long-term use of glucocorticoids, such as prednisone, places the client at risk for osteoporosis. The nurse should instruct the client to take calcium and vitamin D supplements to reduce this risk.

A nurse is caring for a client who has a new prescription for isoniazid (INH) and is providing education about the adverse effects. Which of the following statements should the nurse make? (Select all that apply) A. " You might notice yellowing of your skin" B. "You might experience pain in your joints" C. "You might develop ringing in your ears" D. "You might notice tingling of your hands" E. "You might experience a loss of appetite."

A. " You might notice yellowing of your skin" D. "You might notice tingling of your hands"

A nurse is preparing a client who has AIDS for discharge. Which of the following statements should the nurse include in the discharge instructions? A. "Prevent the spread of infection with good household cleaning practices." B. " disinfect equipment contaminated with blood or body fluids for twenty-four hours." C. " food preparation is not your responsibility." D. "Burn soiled dressings."

A. "Prevent the spread of infection with good household cleaning practices."

The nurse is caring for a client who had an anaphylactic reaction after a blood transfusion. The nurse reviews the literature to further understand anti-body mediated immunity (AMI). Which of the following information should the nurse confirm about AMI? A. AMI is mediated by Antibodies produced by B lymphocytes B. AMI defends only against viral infections C. AMI involves phagocytic natural killer cells D.Humoral immunity response is mediated by T lymphocytes

A. AMI is mediated by Antibodies produced by B lymphocytes Rationale: AMI is mediated by the anti-bodies produce Bybee lymphocytes in response to an invading Allergan or antigen

The nurse is preparing a list of home care instructions for a client who has been hospitalized and treated for TB. Which instructions should the nurse include on the list? (select all that apply) A. Activities should be resumed gradually. B. A sputum culture is needed every 2-4 weeks on medication therapy is initiated C. Respiratory isolation is not necessary because family members already have been exposed D. Cover the mouth and nose when coughing or sneezing and put used tissues in a plastic b

A. Activities should be resumed gradually. B. A sputum culture is needed every 2-4 weeks on medication therapy is initiated C. Respiratory isolation is not necessary because family members already have been exposed D. Cover the mouth and nose when coughing or sneezing and put used tissues in a plastic bag

A client develops an anaphylactic reaction after receiving morphine. The nurse should plan to institute which actions? (select all that apply) A. Administer O2 B. quickly assess the clients respiratory status C. Document the event, interventions and clients response D. Leave the client briefly to contact a HCP E. Keep the client supine regardless of the blood pressure readings F. Start an IV infusion of D5W and administer a 500 mL bolus

A. Administer O2 B. quickly assess the clients respiratory status C. Document the event, interventions and clients response

A nurse is preparing to administer the MMR vaccine to a child. The nurse should recognize that the MMR vaccine provided which of the following types of immunity? A. Artificial active immunity B. Active B. Passive D. Artificial passive immunity

A. Artificial active immunity

The nurse provides home care instructions to a client with systemic lupus erythematosus and tells the client about methods to manage fatigue. Which statement by the client indicated a need for further instruction? A. I should take hot baths because they are relaxing B. I should sit whenever possible to conserve my energy C. I should avoid long periods of rest because it causes joint stiffness D. I should do some exercises such as walking when I'm not fatigued

A. I should take hot baths because they are relaxing

The home health nurse provides instructions regarding basic infection control to the parent of an infant with HIV. Which statement if made by the parent, indicates the need for further instruction? A. I will clean up any spills from the diaper with diluted alcohol B. I will wash baby bottle, nipples, and pacifiers in the dishwasher C. I will be sure to prepare foods that are high in calories and high in protein D. I will be sure to wash my hands carefully before and after caring for my infant

A. I will clean up any spills from the diaper with diluted alcohol

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? A. Increased mucus secretions B. Bronchial dilation C. Bradycardia D. Vertigo

A. Increased mucus secretions

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rho (D) immunoglobulin. Which of the following should be included in the teaching? A. It prevents the formation of Rh antibodies in the mothers who are Rh negative B. It destroys Rh antibodies in mothers who are Rh negative C. It destroys Rh antibodies in newborns who are Rh postive D. It prevents the formation of Rh antibodies in newborns who are Rh positive

A. It prevents the formation of Rh antibodies in the mothers who are Rh negative

A nurse is caring for a client who is about to being taking isoniazid to treat TB. The nurse should instruct the client to report which of the following adverse effects of the drug? (select all that apply) A. Jaundice B. Numbness of the hands C. Dizziness D. Hearing loss E. Oral ulcers

A. Jaundice B. Numbness of the hands C. Dizziness

A nurse in a providers office is assessing a client. The nurse should identify that which of the following findings are manifestations of pulmonary turberculosis? (select all that apply) A. Night sweats B. Low-grade fever C. Weight gain D. Flushed cheeks E. Blood in sputum

A. Night sweats B. Low-grade fever E. Blood in sputum

A nurse is providing care to a client who is recovering from anaphylactic shock. For which of the following psychosocial impact should the nurse closely monitor? A. PTSD B. Lack of health care access C. Loss of employment or housing D. Cognitive decline

A. PTSD

A nurse in an outpatient clinic is assessing a client who reports night sweats, fatigue, cough, nausea, diarrhea, and a has a temperature of 38.1C (100.6 F). The client is concerned about the possibility of having HIV. Which actions should the nurse take? (select all that apply) A. Perform a physical assessment B. Determine when the manifestations began C. Teach the client about HIV transmission D. Request a prescription for HIV testing E. Obtain a sexual history

A. Perform a physical assessment B. Determine when the manifestations began C. Teach the client about D. Request a prescription for HIV testing E. Obtain a sexual history

A nurse is assessing a client for HIV. The nurse should identify that which of the following are risk factors associated with this virus? A. Perinatal exposure B. Pregnancy C. Monogamous partner D. Blood Transfusion E. Occupational exposure

A. Perinatal exposure D. Blood Transfusion E. Occupational exposure

A nurse is providing information about tuberculosis to a group of clients at a local community center. Which of the following manifestation should the nurse include? (Select all that apply) A. Persistent cough B. Weight gain C.Fatigue D. Night sweats E. Purulent sputum

A. Persistent cough C. Fatigue D. Night sweats E. Purulent sputum

A client who has HIV+ has had a TB skin test (TST). The nurse notes a 4mm area of induration at the site of the skin test and interprets the results as which finding? A. Positive B. Negative C. Inconclusive D. Need for repeat testing

A. Positive

The clinic nurse reads the results of a tuberculin skin test (TST) on a 3 year old child. The results indicate an area of induration measuring 10 mm. The nurse should interpret these results as which finding? A. Positive B. Negative C. Inconclusive D. Definitive and requiring a repeat test

A. Positive

The nurse is assisting in planning care for a client with a diagnosis of immunodeficiency and should incorporate which action as a priority in the plan? A. Protecting the client from infection B. Providing emotional support to decrease fear C. Encourage discussion about lifestyle changes D. Identifying factors that decrease the immune function

A. Protecting the client from infection

A nurse is caring for a client who has HIV. Which of the following laboratory tests should the nurse monitor to assess the effectiveness of therapy? A. Quantitative RNA assay B. Platelet count C. Enzyme immunoassay (EIA) test D. Western blot

A. Quantitative RNA assay

A nurse is caring for a client who has a new prescription for Delavirdine therapy to treat HIV-1. The nurse should instruct the client to report which of the following adverse reactions to the drug? A. Rash B. Insomnia C. Rhinitis D. Alopecia

A. Rash

The nurse is conducting allergy skin testing on a client. Which postprocedural interventions are most appropriate? (select all that apply) A. Record site, date, and time of the test B. Give the client a list of potentional allergens if identified C. Estimate the size of the wheal and document D. The client to return to have the site inspected only if there is a reaction E. Have the client wait in the waiting room for at least 1-2 hours after injection

A. Record site, date, and time of the test B. Give the client a list of potential allergens if identified

A nurse is reviewing laboratory values for a client who has systemic lupus erythematosus (SLE). Which of the following values should give the nurse the best indication of the clients renal function? A. Serum CRT B. BUN C. Serum Na D. Urine- specific gravity

A. Serum CRT

The nurse is educating a client who has rheumatoid arthritis (RA) about modifiable risk factors for flare-ups. The nurse knows the education was successful when the client states they will avoid which of the following risk factors? (select all that apply) A. Smoking B. Bike riding C. Exposure to people who are ill D. contact sports

A. Smoking C. Exposure to people who are ill D. contact sports

The clinic nurse is performing a psychosocial assessment of a client who has been told that is pregnant. Which assessment findings indicate to the nurse that the client is at risk for contracting HIV? (Select all that apply) A. The client has a hx of IV drug use B. The client in a heterosexual relationship C. The client has a hx of STIs D. The client has a sexual partner of the past 10 years E. The client has a previous hx of GDM

A. The client has a hx of IV drug use C. The client has a hx of STIs

A nurse is teaching a client the difference between a bacterium and a virus. Which of the following statements by the nurse would be correct? A. Viruses require a host to become active B. Bacteria invade a hosts cell to reproduce C. Viruses kill cells with toxins in their outer shell D. Bacteria remain dormant on hard surfaces

A. Viruses require a host to become active

A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethambutol therapy. The nurse should understand that which of the following should be monitored? A. Visual acuity B. Skin color C. Urine output D. Cardiac rhythm

A. Visual acuity rationale: A significant adverse effect of ethambutol is optic neuritis, vision loss, and loss of color discrimination, especially red and green. Baseline vision testing should be performed before use, and visual acuity monitored at regular intervals.

The nurse is providing instructions to a pregnant client with HIV infection regarding care to the newborn after delivery. The client ask the nurse about the feeding options that are available. Which response should the nurse make to the client? A. You will need to bottle feed your newborn B. You will need to feed your newborn by NGT feeding C. You will be able to breastfeed for 6 months and then you will need to switch to bottle feeding D. You will be able to breastfeed for 9 months and then you

A. You will need to bottle feed your newborn

An infant of a mother infected with HIV is seen in he clinic each month and is being monitored for symptoms indicative of HIV infection. With knowledge of the most common opportunistic infection of children infected with HIV, the nurse assess the infant for which sign? A. cough B. Liver failure C. Watery stool D. Nuchal rigidity

A. cough

The community health nurse is conducing an educational session with community member regarding the signs and symptoms associated with TB. The nurse informs the participants that TB is considered as a diagnosis if which signs and symptoms are present? (Select all that apply) A. dyspnea B. Headache C. Night sweats D. a bloody, productive cough E. A cough with the expectoration of mucoid sputum

A. dyspnea C. Night sweats D. a bloody, productive cough E. A cough with the expectoration of mucoid sputum

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse? A. " I signed up for swimming class" B. " I've been taking an antacid to help with indigestion" C. " I've lost 2 pounds since my appointment 2 weeks ago" D. "The naproxen is easier to take when I crush it and put it in applesauce"

B. " I've been taking an antacid to help with indigestion"

A nurse is teaching a client who has active tuberculosis about the treatment regimen. The client ask why multiple medications are necessary. Which of the following responses should the nurse make? A. " Multiple medications decrease the risk for a severe allergic reaction" B. " Multiple medications reduce the chance that the bacteria will become resistant" C. " Multiple medication reduce the risk for adverse reactions D. " Multiple medications decrease the chance of having positive tuberculin ski

B. " Multiple medications reduce the chance that the bacteria will become resistant"

A nurse is preparing to administer a scratch test to a client who has possible food and environmental allergies. Which of the following actions should the nurse perform prior to the procedure? (Select all that apply) A. Cleanse the clients skin with povidone-iodine B. Ask the client about previous reactions to allergens C. Ask the client about medications taken over the past several days D. Inform the client to expect itching alone site E. obtain emergency resuscitation equipment

B. Ask the client about previous reactions to allergens C. Ask the client about medications taken over the past several days D. Inform the client to expect itching alone site E. obtain emergency resuscitation equipment

A client call the nurse in the ED and states that he was just stung by a bumblebee while gardening. The client is afraid of a severe reaction because the clients neighbor experienced such reaction just 1 week ago. Which action should the nurse take? A. Advise the client to soak the site in hydrogen peroxide B. Ask the client if he ever sustained a bee sting in the past C. Tell the client not to worry about the sting

B. Ask the client if he ever sustained a bee sting in the past

A community health nurse is planning education on ways to reduce opportunistic infections for a client who has HIV. Which of the following interventions should the nurse include as an example of how to prevent respiratory infections? A. use portable humidifiers B. Avoid smoking C. clean carpets often D. Limit exposure to pet urine

B. Avoid smoking

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority? A. Positive western blot test B. CD4-T-cell count 180 cells/mm C. Platelets 150,000/mm D. WBC 5,000/mm

B. CD4-T-cell count 180 cells/mm

A nurse in the emergency department is assessing an older adult client who has community-acquired pneumonia. Which of the following findings should the nurse expect? A. Fatigue B. Confusion C. Cough D. Weakness

B. Confusion rationale: Confusion due to hypoxemia is an expected finding for an older-adult who has pneumonia.

A nurse suspects anaphylaxis when caring for a client following the initial administation of an oral antibiotic. Which of the following shoudl be the nurse's priority interventions? A. Insert an IV line B. Count the respiratory rate C. Administer Oxygen D. Prepare equipment for intubation

B. Count the respiratory rate

A nurse is providing care to a newly diagnosed HIV+ client. which of the following barriers to care should the nurse address with the client? A. Decreased functional mobility B. Fear of social stigma C. Increased chronic pain D. Lack of effective interventions

B. Fear of social stigma

A nurse is caring for a client who is experiencing an acute exacerbation of RA. The nurse should anticipate that the clients affected joints will require which of the following treatments? A. An assistive device to use when the client is ambulating B. Heat paraffin therapy applied to the clients joints C. Gentle massage of the clients hands D.Active range- of-motion exercises on the clients affected joints

B. Heat paraffin therapy applied to the clients joints

A pregnant client reports to a health care clinic, complaining of loss of appetite, weight loss, and fatigue. After assessment of the client, TB is suspected. A sputum culture is obtained and identifies Mycobacterium Tuberculosis. Which instruction should the nurse include in the clients teaching plan? A. Therapeutic abortion is required B. Isoniazid plus rifampin will be required for 9 months C. She will have to stay at home until treatment is completed. D. Medication will not be started until

B. Isoniazid plus rifampin will be required for 9 months

A nurse in a provider's office is assessing a client who has AIDS. The nurse notes that the client has multiple widespread and raised purplish-brown skin lesions. The nurse should recognize that these findings indicate which of the following conditions? A. Actinic keratosis B. Kaposi's sarcoma C. Toxic epidermal necrosis D. Basal cell carcinoma

B. Kaposi's sarcoma

A nurse in a provider's office is assessing a client who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition? A.Anorexia B. Knuckle deformity C.Low-grade fever D. Fatigue

B. Knuckle deformity

The nurse is assisting in the care of a client recently diagnosed with HIV. Which manifestation should the nurse anticipate monitoring for in the acute stage of HIV infection? A. SHOB B. Night sweats C. severe weight loss D. purple lesions

B. Night sweats

The nurse is preparing to give a bed bath to an immobilized client with TB. The nurse should wear which items when performing this care? A. surgical mask and gloves B. Particulate respirator, gown, gloves C. Particulate respirator and protective eyewear D. Surgical mask, gown, and protective eyewear

B. Particulate respirator, gown, gloves

A nurse is caring for a client who has diabetes mellitus, pulmonary tuberculosis, and a new prescription for isoniazid. Which of the following supplements should the nurse expect to administer to prevent an adverse effect of INH? A. Ascorbic acid B. Pyridoxine C. Folic Acid D. Cyanocobalamin

B. Pyridoxine

The clinic nurse is instructing the parent of a child with HIV regarding immunizations. The nurse should provide witch instructions to the parent? A. The Hep b vaccine will not be given to the child B. The inactivated influenza vaccine will be given yearly C. The varicella vaccine will be given before 6 months of age D. A western blot test needs to be performed and the results evaluated before immunizations

B. The inactivated influenza vaccine will be given yearly

The nurse is providing teaching to the client about strategies to reduce trigger and minimize flares of SLE. Which of the following are appropriate strategies for this client? (select all that apply) A. long term use of glucocorticoids B. physical therapy C. Occupational therapy D. Psychosocial support E. Daily sun exposure

B. physical therapy C. Occupational therapy D. Psychosocial support

A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching? A. "I will limit the use of emollient skin cream to once a week." B. "I will expect to have a mild, occasional fever." C. " I will avoid people who have just received an immunization." D. "I might experience harmless white patches in my mouth."

C. " I will avoid people who have just received an immunization."

A nurse is caring for a client who has a new diagnosis of Turbculosis and has been placed on a multi-medication regimen. Which of the following instructions should the nurse give the client related to ethambutol? A. " Your urine can turn a dark orange" B. " Watch for a change in the sclera of your eyes." C. " Watch for any changes in vision." D. " Take vitamin b6 daily"

C. " Watch for any changes in vision."

A group of nurses are discussing risk factors for transmission of human immunodificiency vurys (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV? A. An occupational therapist who works with a client who has HIV B. A personal trainer who works with a clietn who has HIV C. A phlebotomist who collects blood from clients who have HIV D. A nurse who works an insurance company and collects urine samples from clients who h

C. A phlebotomist who collects blood from clients who have HIV

A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis (TB) about the use of anti-tuberculosis medications. Which of the following information should the nurse include in the teaching? A. Medications will need to be taken for the rest of the client's life, even if the client feels better. B. Medications will need to be taken until the Mantoux test is negative. C. A typical course of treatment involves 6 to 9 months of consistent medication use. D. The client's family

C. A typical course of treatment involves 6 to 9 months of consistent medication use.

A nurse is assisting in the care of a client who reports having butterfly-shaped rash, fatigue, and recent hair loss. Which laboratory testing should the nurse anticipate the healthcare provider ordering to assist a diagnosis? A. Rheumatoid factor (RF) B. C- reactive (CRP) C. Antinuclear antibody (ANA) assay D. Erythrocytes sedimentation rate (ESR)

C. Antinuclear antibody (ANA) assay

A nurse is caring for a client who has SLE and is concerned about the skin lesions on her face and neck. The client ask the nurse, "What should i do about these spots"? Which of the following responses should the nurse give? A. Keep the lesions covered with light sterile dressing when going outdoors B. Rub lesions with a washcloth to dry after washing C. Apply moisturizer after bathing the lesions with warm water D. Apply antibiotic cream twice a day until scabs form on the lesions

C. Apply moisturizer after bathing the lesions with warm water

A nurse is providing education to a client who has experienced wheezing after an insect bite. Which of the following interventions should the nurse include to prevent future reactions? A. Wear bright colored clothing B. Apply perfume sparingly C. Avoid walking outside barefoot D. Use lotions with floral scents

C. Avoid walking outside barefoot

A nurse is caring for a client who has a new prescription for prednisone for long-term treatment of rheumatoid arthritis (RA). The nurse should monitor client for which of the following adverse drug reactions? A. PE B. Hepatitis C. Bone loss D. Breast cancer

C. Bone loss

A nurse in a providers office receives a call from a client who is taking amoxicillin to treat a respiratory infect and reports a rash and wheezing. Which of the following instructions should the nurse give the client? A. Wait 1 hr and contract the provider if there is no improvement B. Skip todays dose of amoxicillin and resume taking the drug tomorrow C. Call emergency services immediately D. Take an NSAID to reduce skin and airway inflammation

C. Call emergency services immediately

A nurse is caring for a client who has a prescription for rifampin to treat TB. The nurse should expect the provider to prescribe which of the following drugs to the client to prevent possible resistance to rifampin? A. Gentamicin B. Vancomycin C. Isoniazid D.Metronidazole

C. Isoniazid

A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings is the highest priority for the nurse to report to the provider? A. Client reports mild feelings of depression B. Dry, raised rash on the face. C. Presence of sudden peripheral edema. D. Joint pain in hands and knees.

C. Presence of sudden peripheral edema.

The nurse performs an admission assessment on a client with diagnosis of TB. The nurse should check the results of which diagnostic test that will confirm this diagnosis? A. Chest x-ray B. Bronchoscopy C. Sputum culture D. TB skin test

C. Sputum culture

A nurse is caring for a client who has delayed hypersensitivity reaction. The nurse should expect which of the following manifestations? A. Bronchospasm B. serum sickness C. Tissue damage at the site D. Excessive mucus secretions

C. Tissue damage at the site

A nurse is providing education to a client who is newly diagnosed with systemic lupus erythematosus (SLE). Which of the following environmental factors should the nurse include in the teaching as possible trigger that may cause the disease to flare up? A. exercise B. weight gain C. sun exposure D. Caffeine

C. sun exposure

A nurse in a providers office is providing teaching to a client who has a recent diagnosis of rheumatoid arthritis and has a new prescription from naproxen tablets. Which of the following statements by the client require further teaching? A. This medication will take 4 weeks for me to notice relief in my joints B. I can take an antacid with this medication for indigestion C.I can take this medication with aspirin D. The naproxen goes down when I crush it and put it in applesauce

C.I can take this medication with aspirin

A nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin. The nurse should verify which of the following prior to administration?

Client is Rh negative, and the newborn is Rh positive

A nurse should recognize that enfuvirtide can be prescribed to clients who have which of the following conditions? A. advanced prostate cancer B. primary brain tumor C. RA D. Advanced HIV

D. Advanced HIV

The nurse is performing an assessment on a client who has been diagnosed with an allergy to latex. In determining the clients risk factors, the nurse should question the client about an allergy to which food item? A. eggs B. milk C. yogurt D. Bananas

D. Bananas

A nurse in a clinic is assessing a client who has AIDS and a significantly decreased CD4-T-cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions? A. Halitosis B. Gingivitis C. Xerostomia D. Candidiasis

D. Candidiasis

A nurse is discussing with a health care provider the care with light skin who has been exposed to a known allergen. Which of the following pathophysiological occurrences should indicate to the nurse that anaphylaxis has progressed to anaphylactic shock? A. skin flushing B. gastrointestinal upset C. Headache D. Cardiac arrhythmia

D. Cardiac arrhythmia

A nurse is caring for a client who currently takes furosemide and has a new prescription for prednisone. The nurse should monitor the client for which of the following manifestations during concurrent use of the two drugs? A. Hypercalcemia B. Hypoglycemia C. Hypothermia D. Hypokalemia

D. Hypokalemia

The nurse provides home care instructions to the parent o fa child with AIDs. Which statement by the parent indicates the need for further teaching? A. I will wash my hands frequently B. I will keep my child immunizations up to date C.I will avoid direct unprotected contact with my childs body fluids D. I can send my child to daycare if he has a fever, as long as it is a low-grade fever

D. I can send my child to daycare if he has a fever, as long as it is a low-grade fever

The nurse has conducted discharge teaching with a client diagnosed with TB who has been receiving medication for 2 weeks. The nurse determines that the client has understood the information if the client makes which statement? A. I need to continue medication therapy for 1 month B. I cant shop at the mall for the next 6 months C. I can return to work if a sputum culture comes back negative D. I should not be contagious after 2-3 weeks of medication therapy

D. I should not be contagious after 2-3 weeks of medication therapy

A nurse is implementing a plan of care for a client who has AIDS with recurring pneumonia. Which of the following actions should the nurse take? A. Encourage fluid intake of 1500mL/day B. Position head of bed at 10 degrees C. Cough and deep breathe every 8hr D. Obtain a sputum culture

D. Obtain a sputum culture

A nurse is caring for a client who has active pulmonary tuberculosis (TB) and a new prescription for IV rifampin. the nurse should instruct the client that they should expect to experience which of the following manifestations while taking this medication? A. Constipation B. Black-colored stools C. Staining of teeth D. Red-Colored Urine

D. Red-Colored Urine

A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus (HIV). He states, " I don't care what the doctors say, there is no way I can have HIV, and I don't need treatment for something I don't have." The nurse identifies that the client is experiencing which of the following types of crisis? A. Adventitious B. Internal C. Maturational D. Situational

D. Situational Rationale: A diagnosis of HIV is a situational crisis which is one that is unexpected but is part of regular life such as a serious illness or financial loss.

A nurse is caring for a client who has a new prescription for ritonavir and zidovudine therapy to treat HIV-1. The nurse should inform the client that zidovudine is prescribed with ritonavir for which of the following reasons? A. To prevent an infusion reaction B. To increase PLT production C. To prevent healthy cells from the toxic effect of ritonavir D. To prevent drug resistance

D. To prevent drug resistance

A nurse is providing teaching for a client who takes an oral contraceptive and is about to begin rifampin therapy to treat TB. Which of the following instructions should the nurse include? A. Increase the rifampin dose B. Increase the oral contraceptive dose C. Allow 2 hr between taking the two drugs D. Use a non-hormonal form of contraception

D. Use a non-hormonal form of contraception

A nurse is providing discharge teaching to a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include? A. Avoid using moisturizing lotions on the skin B. Wash the hair with a mild protein shampoo. C. Apply powder liberally to sensitive skin areas. D. Use a sun-blocking agent with a sun protection of at least 15.

D. Use a sun-blocking agent with a sun protection of at least 15.

An infant receives a DTAP immunization at a well- baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which intervention should the nurse suggest to the parent? A. monitor the infant for fever B. bring the infant back to the clinic C. apply a hot pack to the injection site D. apply a cold pack to the injection site

D. apply a cold pack to the injection site

A health care provider prescribes lab studies for an infant of a woman positive for HIV. The nurse anticipates that which laboratory study will be prescribed for the infant? A. chest x-ray B. Western blot C. CD4+ cell count D. p24 antigen assay

D. p24 antigen assay

A young adult client with a new diagnosis of rheumatoid arthritis states, "The pain in my joints is just a temporary thing. If I keep eating right and exercising, it'll go away." The nurse should identify the client is exhibiting which of the following defense mechanisms? a. Denial b. Displacement c. Rationalization d. Reaction Formation

a. Denial

A nurse is assessing a client for early manifestations of rheumatoid arthritis (RA). Which of the following changes is an early manifestation of RA? a. morning stiffness b. fatigue c. temporomandibular joint pain d. baker's cysts

b. fatigue