Quizizz Review
Which of the following statements would indicate that a client with peripheral neuropathy understands teaching about foot care at home?
" I will check my feet for cuts and bruises every night."
The nurse is caring for a client who has been prescribed methotrexate for the treatment of rheumatoid arthritis. Which client statement indicates that the nurse's teaching about this medication has been successful?
" I will obtain donor breast milk for my baby to use while I take this medication."
You're providing education to a patient with AIDS on how to prevent opportunistic infections. Which statement below requires the nurse to re-educate the patient about this topic?
"'I've switched to buying raw organic milk."
During a routine health, check-up visit a patient states, "I've been experiencing severe pain and stiffness in my joints lately." As the nurse, you will ask the patient what questions to assess for other possible signs and symptoms of rheumatoid arthritis? Select-all-that-apply:
"Are you experiencing fatigue and fever as well?" "Is your pain and stiffness symmetrical on the body?"
While providing care for a client who is diagnosed with rheumatoid arthritis (RA), the nurse reviews the activities of daily care. Which question should the nurse prioritize in the collection of assessment data for this client?
"Do your current medications adequately control your pain and discomfort?"
The nurse plays a vital role in screening patients for a possible HIV infection. What questions below could the nurse ask to help identify a patient who is at risk for HIV? Select all that apply:
"How often do you use alcohol or drugs?" "If you are sexually active, do you or your partner use protection?" "Have you ever been treated for a sexually transmitted infection?"
The 65-year-old client is diagnosed with macular degeneration. Which statement by thenurse indicates the client needs more discharge teaching?
"I am going to use low-watt light bulbs in my house."
The nurse reinforces education for a client who is newly diagnosed with rheumatoid arthritis (RA) regarding ways to reduce symptoms and provide self-care at home. Which client statement indicates understanding of the instructions? Select all that apply.
"I should apply ice when I experience pain in my joints." "A warm damp towel is an appropriate option to help with joint stiffness." 'Range-of-motion therapy is important to maintain flexibility"
You are providing education to a patient, who was recently diagnosed with rheumatoid arthritis, about physical exercise. Which statement made by the patient is correct?
"I will be sure to rest joints that are experiencing a flare-up, but I will try to maintain a weekly regime of range of motion exercises along with walking and riding a stationary bike."
A patient with HIV is prescribed to start antiretroviral therapy. The nurse is providing education about these medications. Which of the following statements indicates understanding of these medications?
"If I take these medications as prescribed by viral load will become undetectable, and I have a low risk of transmit the virus to others." "Drug resistance is likely to develop if I'm non-compliant with my medications." "This therapy does not cure me from HIV but helps me live a healthier and longer life."
Which client statement indicates to the nurse a need for additional teaching regarding the newly diagnosed rheumatoid arthritis (RA)? Select all that apply.
"Methotrexate will be used only when severe deformity develops." "This arthritis is caused by years of wear and tear on my joints." "When I feel pain in my joints, I will stop what I'm doing and rest."
The nurse provides care for a client who is diagnosed with rheumatoid arthritis (RA) and newly prescribed methotrexate pharmacotherapy. At the conclusion of the teaching session, the client states to the nurse, "Well, I guess this means I can't see my new grandbaby." Which response by the nurse is best?
"Tell me more about your feelings that you can't see your grandbaby."
The nurse is evaluating a child with ASD and determines that a goal of treatment has been met when the parent makes which statement?
"The child learned to eat with a fork."
The nurse is working with a child with ASD and the child's family. The parents ask the nurse what medications will be used to help cure the child. What is the nurse's best response?
"Treatment for autism focuses on behavior change, not medications."
A client taking prednisone for rheumatoid arthritis states, "This medication is terrible. All I do is act like a grouch and cry." Which response by the nurse is best?
"Unfortunately, that is just a side effect of the medication."
The nurse provides care for a client who is diagnosed with rheumatoid arthritis and newly prescribed methotrexate. Which instruction should the nurse include in the medication teaching session to decrease the client's risk for infection?
"You should avoid contact with anyone who is sick while taking this medication."
Which intervention will the nurse teach a parent to initiate in the home for a child with cerebral palsy?
Allow extra time for chewing and swallowing.
The nurse develops a plan of care for a client who is prescribed methotrexate for treatment of rheumatoid arthritis (RA). The client's data is as follows: fever, leukopenia, thrombocytopenia, and increased serum creatinine. Which action(s) should the nurse take based on the current clinical data? Select all that apply.
Assess the client for bleeding Monitor the client's urine output Consider neutropenic precautions Notify the client's health care provider (HCP)
You have reinforced teaching on the side effects of methylphenidate. Which of the following if stated by the patient would show understanding of the teaching?
Bleeding
A nurse performs an assessment of a client with a diagnosis of macular degeneration of the eye. The nurse would expect the client to report which of the following symptoms?
Blurred central vision
What nursing action is most important for the patient with age-related macular degeneration (AMD)?
Emphasize the use of vision enhancement techniques to improve what vision is present.
A client who is diagnosed with severe rheumatoid arthritis (RA) is not scheduled for pharmacotherapy to treat pain and inflammation associated with the diagnosis for another two hours. The client reports a 6 out of 10 pain rating. Which action should the nurse implement first?
Encourage heat application and distraction therapy
The family of a child who is experiencing attention-deficit/hyperactivity disorder tells the nurse that they are having difficulty dealing with the child's behavior at home. The nurse teaches the family which technique to help manage the child at home?
Have routines for eating, sleeping, and recreation.
The parent of a 3-year-old child who seems to be overactive asks the nurse how a diagnosis of attention-deficit/hyperactivity disorder would be made for the child. The nurse tells the parent that a diagnosis is made by which method?
History & Physical Assessment
A patient with rheumatoid arthritis is experiencing sudden vision changes. Which medication found in the patient's medication list can cause retinal damage?
Hydroxychloroquine (Plaquenil)
Which of the following medications could be initially prescribed for a patient diagnosed with Rheumatoid Arthritis? Select all that apply.
Hydroxychloroquine (Plaquenil) Sulfasalzaine (Azulfidine) Ibuprofen Methotrexate (Rheumatrex)
Disease-modifying antirheumatic drugs (DMARDS) are used to treat rheumatoid arthritis. Select-all-the drugs below that are DMARDS:*
Hydroxychloroquine (Plaquenil) Leflunomide (Arava) Methotrexate (Trexall)
The nurse is evaluating the child with failure to thrive to determine whether goals have been met. The nurse evaluates which finding in this child?
Improved developmental progress
The nurse is assessing a client with macular degeneration. Identify the illustration that best depicts what clients with this disorder typically see.
In macular degeneration the center vision is blackened out and only the outer visual fields are clear.
The nurse is instructing a client with diabetes about recognition of symptoms of peripheral neuropathy that affects the third cranial nerve. The nurse teaches the client to report which manifestations?
Inability to move the eye up and down
A nurse is reinforcing teaching for a client who has a new diagnosis of dry macular degeneration. Which of the following instructions should the nurse include in the teaching?
Increase intake of deep yellow and orange vegetables
A patient with Stage 2 HIV (Chronic Stage) is prescribed to take Raltegravir. The nurse knows that this medication is part of what class of ART?
Integrase Inhibitors Raltegravir (RAL) (Isentress)
A 30-year-old patient is in the Acute Stage of HIV. What findings below correlate with this stage of HIV? Select all that apply:
No present of Opportunistic Infections High viral load Patient reports flu-like symptoms
A patient arrives to the clinic and requests an HIV test. The patient had unprotected sexual intercourse 2 days ago with a person who may have HIV. As the nurse you know there is a window period for detecting an infection of HIV. What statements should you provide to the patient about this window period and testing for HIV? Select all that apply:
No test is available at this time to show immediate infection. The window period is the time when you become infected with HIV to when a test can deliver positive results. Window periods vary depending on the type of HIV test administered.
Which antiretroviral medication treatment stops the enzyme reverse transcriptase from working by binding to it?
Non-Nucleoside Reverse Transcriptase Inhibitors (NNRTIs) ▪ Efavirenz (Sustiva) *** ▪ Delavirdine (Rescriptor) ▪ Nevirapine (Viramune) ***
The nurse is planning interventions for a child with failure to thrive. What would the nurse assess first before planning care?
Observe the parents when feeding the child
The nurse is caring for an elderly client with rheumatoid arthritis. Which measure(s) should the nurse implement to help prevent pressure injuries? Select all that apply.
Perform a comprehensive skin assessment Utilize pressure relieving devices Educate the client about pressure injury
The nurse is teaching a group of pregnant women about cerebral palsy. The nurse emphasizes the need for good prenatal care and nutrition, because the greatest risk for cerebral palsy is found in which situation?
Prematurity
The nurse provides care for a client who is prescribed long term prednisone use for the treatment of rheumatoid arthritis (RA). Which targeted screening assessment should the nurse implement based on the cUrrent clinical data?
Vision
The nurse is teaching the family about reducing stimulation for the child who has been diagnosed with attention-deficit/hyperactivity disorder (ADHD). Which activity will the nurse teach the family to limit?
Watching TV
A client with Meniere's disease is experiencing severe vertigo. Which instruction would the nurse give to the client to assist in controlling vertigo?
avoid sudden head movements
The family of a 4-month-old infant notices that the child does not act like other infants of the same age. The clinic nurse assesses the child for which finding to help confirm a diagnosis of cerebral palsy?
Persistent asymmetric tonic neck reflex when infant's head is turned
What group of ART for the treatment of HIV stop an enzyme from cutting the long chains of virus so the immature virus can't be assembled and mature?
Protease Inhibitors
Which antiretroviral medication treatment stops the enzyme that helps create new virus particles?
Protease Inhibitors ▪ Saquinavir - 1st choice ▪ Atazanavir ▪ Nelfinavir ▪ Indinavir
Instruct the client to increase dietary intake of carotenoids and antioxidants to slow the progression of the macular degeneration.
Reduced exposure to bright lighting Plan evenly-spaced daily fluid intake Avoid fluids containing caffeine and alcohol Move head slowly when changing positions
Which statement below best describes the role of reverse transcriptase?
Reverse transcriptase is an enzyme that turns viral RNA into viral DNA.
A physician suspects a patient may have rheumatoid arthritis due to the patient's presenting symptoms. What diagnostic testing can be ordered to help a physician diagnose rheumatoid arthritis? Select all that apply:
Rheumatoid factor Erythrocyte sedimentation rate X-ray imaging
The patient is prescribed to take Enfuvirtide (Fuzeon). The nurse prepares to administer this medication via?
SQ
A client with type 2 diabetes mellitus (DM) that is controlled by diet is prescribed prednisone to treat rheumatoid arthritis (RA). Which serial laboratory test does the nurse anticipate will be prescribed by the client's health care provider (HCP)?
Serum Glucose Levels
A 48-year-old patient is HIV positive. The patient has no signs and symptoms and has a CD4 count of 400 cells/mm3. In addition, no opportunistic infections or diseases are present. These findings correlate with what stage of HIV?
Stage 2: Chronic/Clinical Latency
A 25-year-old female is about to deliver a baby. The patient is HIV-positive and has been taking antiretroviral therapy during the pregnancy. What steps can be taken to help prevent transmitting the virus to the baby after birth?
Substitute formula for breastfeeding.
The Human Immunodeficiency Virus (HIV) can NOT be spread in what type of fluid below? Select all that apply:
Tears Sweat
The home health nurse is planning care for a child with attention-deficit/ hyperactivity disorder (ADHD). Which behavior by the child would indicate progress toward the goal of increased self-esteem?
The child is able to control impulse behavior
The nurse is evaluating a 3-year-old child with a developmental delay. Which assessment finding would indicate this child might have a type of autistic spectrum disorder?
The child is using echolalia.
The parents of a young child with cerebral palsy are in the clinic to talk with the nurse about the child's care at home. Which information will the nurse include in the instructions?
The parents need a good understanding of the child's medications.
A 75-year-old male client has a history ofmacular degeneration. While he is in the hospital,the priority nursing goal will be:
To promote a safe, effective care environment
Which type of opportunistic infection occurs from inhaling a parasitic organism that can be found in cat and bird feces?
Toxoplasmosis
Although all of the following measures might be useful in reducing the visual disability of a client with adult macular degeneration (AMD), which measure should the nurse teach the client primarily as a safety precaution?
Turn the head from side to side when walking
The nurse is reviewing the physician's orders for a client with Meniere's disease. Which diet will most likely be prescribed?
low sodium diet
A nurse is caring for a client who has suspected Meniere's disease. Which of the following is an expected finding?
unilateral hearing loss
What drugs are Disease Modifying Antirheumatic Drugs (DMARDs)?
▪ Hydroxychloroquine (Plaquenil) ▪ Gold compounds (Ridaura) ▪ Methotrexate (Rheumatrex) ▪ Sulfasalazine (Azulfidine)
The nurse notes that a client has a nursing diagnosis of peripheral neurovascular dysfunction involving both feet. Which nursing assessment would support this diagnosis?
Client states, "I can't feel my feet anymore."
The nurse is teaching a group of clients about peripheral neuropathy. Which client would the nurse discuss as having a high risk for peripheral neuropathy?
Client with diabetes mellitus
You're providing care to a patient with severe rheumatoid arthritis. While performing the head-to-toe nursing assessment, you note the patient's overall skin color to be pale and the patient looks exhausted. You ask the patient how she is feeling, and she says "I'm so tired. I can't even get out of this bed without getting short of breath." Which finding on the patient's morning lab work may confirm a complication that can be experienced with rheumatoid arthritis?
Hemoglobin 7 g/dL
The nurse should assess an older adult with macular degeneration for:
Loss of central vision
The nurse provides education for a client who is diagnosed with rheumatoid arthritis (RA) and prescribed long term prednisone therapy for disease management. Which instruction should the nurse provide to the client based on the current clinical data?
"You should see an ophthalmologist for an eye examination every 6 months."
A client is prescribed dexamethasone 0.2 mg/kg/day oral elixir for rheumatoid arthritis (RA). The client weighs 103.4Ibs. Available is dexamethasone 0.5 mL/5 mg. How many mL will the nurse administer?
0.9 mLs
What is a normal CD4 count?
500-1500 cells/mm3
The nurse is caring for a child who has recently been diagnosed with cerebral palsy. The parents ask the nurse about the disorder. What is the nurse's best response with regard to the definition of the disorder?
A chronic disorder in which there is difficulty controlling muscles
The nurse assesses a client who is prescribed methotrexate for the treatment of rheumatoid arthritis (RA). Which finding requires immediate health care provider (HCP) notification?
Black, Tarry Stools
Select the criteria below that are used to help diagnose a patient with Acquired Immunodeficiency Syndrome (AIDS): Select all that apply
CD4 count <200 cells/mm3 Presence of opportunistic infection
The Human Immunodeficiency Virus (HIV) mainly attacks what type of cells in the human body?
CD4+ Cells
Your patient is in the last stage of HIV. The patient's CD4 count is 100 cells/mm3. Which of the following FUNGAL infections if your patient at risk for? Select all that apply:
Candidiasis Coccidioidomycosis Histoplasmosis
An older adult with rheumatoid arthritis (RA) has taken prednisone for the past 20 years. For which side effects should the nurse monitor this client? Select all that apply.
Cataracts Fractures
The nurse is planning care for a child with autism spectrum disorder (ASD) and selects Impaired Social Interaction as a nursing diagnosis based on which assessment finding?
Child will not cuddle with parent.
