Immunity

a nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. the nurse should initiate a referral with which of the following members of the inter professional health care team? a. occupational therapist b. social worker c. registered dietitian d. speech pathologist

a.

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

b.

a nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. which of the following instructions should the nurse include? (select all that apply) a. expect to feel the medication's effects immediately b. do not drink alcoholic beverages while taking this medication c. report unexplained bruising to the provider d. avoid people who have infections e. take NSAIDs to help minimize the adverse effects of the medication

b. c. d.

a nurse is completing a physical examination of a client and notes that laboratory valves indicate leukocytosis. the nurse should recognize that which of the following manifestations is associated with leukocytosis? a. anemia b. coagulation disorders c. inflammation d. renal disorder

c.

a nurse is caring for a client who has HIV-1 infection and is prescribed zidovudine as part of antiretroviral therapy. the nurse should monitor the client for which of the following adverse effects of this medication? a. cardiac dysrhythmia b. metabolic alkalosis c. renal failure d. aplastic anemia

d.

a nurse is creating a plan of care to maintain the skin integrity of a client who experiences frequent diarrhea due to ulcerative colitis. which of the following interventions should the nurse include in the plan? a. soak in a sitz bath for 20 minutes after each stool b. administer a soap-suds enema to cleanse the colon c. cleanse with antimicrobial scrub and vigorously dry d. wipe perianal area with warm water and apply a barrier cream

d.

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 1500 mL/day b. position head of bed at 10 degrees c. cough and deep breathe every 8 hours d. obtain a sputum culture

d.

a nurse is monitoring a client who is receiving a blood transfusion. which of the following findings indicates an allergic transfusion reaction? a. generalized urticaria b. blood pressure 184/92 mm Hg c. distended jugular veins d. bilateral flank pain

a.

a nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction during a previous transfusion. the nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses? a. urticaria b. fever c. fluid overload d. hemolysis

a.

a nurse is reviewing laboratory valves for a client who has systemic lupus erythematous (SLE). which of the following values should give the nurse the best indication of the client's renal function? a. serum creatine b. blood urea nitrogen (BUN) c. serum sodium d. urine-specific gravity

a.

a clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). which of the following findings should the nurse expect? a. a grey colored, non-purpuric papular rash b. a dry, rash across the bridge of the nose and on the cheeks c. pitting edema of the hands and fingers d. subcutaneous nodules on the ulnar side of the arm

b.

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/mm3 c. platelets 150,000/mm3 d. WBC 5,000/mm3

b.

a nurse is caring for a female client who has rheumatoid arthritis and asks the nurse if it is safe for her to take aspirin. the nurse should recognize which of the following findings in the client's history is a contraindication for this medication? a. report of recent migraine headaches b. history of gastric ulcers c. current diagnosis of glaucoma d. prior reports to amenorrhea

b.

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.

a nurse is talking with a client who has to come to the clinic for HIV testing. the nurse should explain that, after the laboratory has the enzyme-linked immunosorbent assay (ELISA) results, it will use which of the following tests to confirm the diagnosis? a. CD4+ T-cell count b. western blot analysis c. quantitative RNA assay d. viral load test

b.

a nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. the nurse should include to monitor for which of the following adverse effects of this medication? a. constipation b. bleeding c. blurred vision d. insomnia

b.

a group of nurses are discussing risk factors for transmission of human immunodeficiency virus (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 has HIV b. a personal trainer who works with a client who has HIV c. a phlebotomist who collect blood from clients who have HIV d. a nurse who works for an insurance company and collects urine samples from clients ho have HIV

c.

a nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. the nurse should wear a gown as personal protective equipment when taking which of the following actions? a. talking to the client at the bedside b. administering an intermittent IV bolus medication c. completing a dressing change d. administering an IM injection

c.

a nurse is caring for a client who is prescribed diphenhydramine to relive pruritus. the client asks how he can minimize the daytime sedation he is experiencing. which of the following response should the nurse give? a. "gradually decrease the dose once tolerance to the effect is reached." b. "distribute the doses evenly throughout the day." c. "take most of the daily dose at bedtime." "take medication with meals."

c.

a nurse is setting goals for a client who has AIDS and is at the end of life. which of the following are realistic goals? a. the client will verbalize an understanding of the Mose of disease transmission b. the client will experience a weight gain of one to two pounds per week c. the client will increase attendance at community social activities d. the client will receive medication to minimize episodes of breakthrough pain

d.