Learning System Immune

A client is concerned about lyme disease after being bitten by a tick. The nurse should assess the client from common early manifestations of Lyme disease, including which of the following

A progressive, circular rash

A nurse is caring for a client who has latex allergy. The nurse is aware that which of the following items could be unsafe to use while performing this clients care

Cartoon characer adhesive bandages

A nurse checks the morning lab results for a client admitted with status asthmaticus. The nurse knows that which result, if elevated on the WBC differential, would suggest an allergic basis for the clients illness

Eosinophils

A nurse us assessing a client who has had systemic scleroderma for 5 years to document the diseases progression. In addition to skin changes, which of the following findings should the nurse expect?

Finger contractures

A client admitted to the hospital with active TB is placed on airborne precautions, prescribed medications and scheduled for a chest x-ray. While transporting the client to the radiology department, the nurse should do which of the following

Have the client wear a mask

A nurse is preparing to administer a mantoux skin test to a client. The nurse shold inform the client that the purpose of a mantoux skin test using PPR is to do which of the following

Identify clients who have been infected with mycobacterium TB

A nurse in the health clinic is evaluating the effectiveness of naproxen following a clients exacerbation or rheumatoid arthritis. Which comment by the client requires further intervention with the nurse

Ive been buying an acid reducer to help with the indigestion Ive had

A nurse is preparing a client with SLE for discharge. Which of the following instructions should the nurse include in the clients discharge teaching

Monitor your body temperature and report any elevations promptly

Which of the following explanations should the nurse offer to an immunosuppressed client concerned about the transmission of pneumocystis carinii pneumonia (PCP)

PCP results from an impaired immune system

11A nurse caring for a client who is HIV positive is teaching the client about the earliest manifestations of AIDS. The nurse explains that the include which of the following

Persistent fever, swollen glands, diarrhea, weight loss, fatigue

When planning to teach a client who is HIV-positive, the nurse should include instructing the client that the virus can be transmitted

To anyone having contact with the clients blood

A client who tests positive for the HIV asks the nurse, "should I tell my partner that I am HIV positive?" Which of the following is an appropriate nursing response

You aren't sure what to say your partner

A nurse has prepared a sign to hang outside of the room of a client who is on contact precautions because of a confirmed diagnosis of MRSA infection. Which sign, if prepared by the nurse, would indicate a knowledge deficit?

Graphic 4

A client with an exacerbation of rheumatoid arthritis has an erythrocyte sedimentation rate (ESR) of 65 mm/hr. Based on this finding the nurse anticipates that the clients affected joints will require which of the following

Heat cold therapy

A nurse is teaching a client who has recent allergic reactions about how his symptoms develop. The nurse explains that histamine release causes which of the following

Increased mucus secretion

A HIV-positive, client is admitted to the hospital with a lung infection. Which isolation category should the nurse implement to prevent transmission of the HIV virus?

Standard precautions

A client with reactive airway disease is tested and found to have an allergy to dust mites. The nurse determines that the client understands how to reduce her exposure to this allergen when she states which of the following

Washing all the bed linens in hot water every week will be time consuming

A client diagnosed with SLE is concerned about skin lesions on the face and neck. The client asks the nurse, "What should I do about spots?" Which of the following responses would be appropriate by the nurse?

Apply moisturizer after bathing the lesions with warm water

A client receives instructions about behaviors that increase the risk of developing Hep A. Which statements by the client indicates to the nurse an accurate understanding of the information

Ill stop eating raw clams even though I enjoy them

When teaching a client about managing Raynauds disease, the nurse includes information about which of the following?

Protecting against cold with layers of clothing

When assessing a client with Kapok's sarcoma (KS), the nurse would expect to see which of the following?

Reddish purple skin lesions

Which of the following findings should alert the nurse to the possibility that a client who is 2 days postoperative is developing an infection

Erythema at the incision site

A nurse is teaching a female client newly diagnosed with systemic lupus erythematosus (SLE) about factors that might trigger an exacerbation of SLE. The nurse determines that the client needs more teaching when she identifies which of the following as a factor that may exacerbate SLE?

Exercise

A nurse is teaching a female client recently diagnosed with raynauds disease about preventing the onset of manifestations. Which of following statements made by the client indicates an understanding of the teaching

I must not smoke

A nurse is giving instructions to a client treated for sexually transmitted disease (STD). Which of the following statements indicates that the client understands how to prevent infection transmissions

I will bring my sexual partner in for treatment

A nurse is preparing the family of an infant with AIDS for discharge. Which statement by the childs parent should alert the nurse to a need for further instruction

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

A nurse is caring for a client with seasonal allergy symptoms who had RAST testing completed on a previous clinic visit. The nurse recognizes that a positive result is indicated by an elevation of which of the following

IgE (immunoglobin E)

Allergy testing indicates that a client has several environmental allergies, and the provider recommends allergy desensitization. After explaining the procedure, the nurse determines that teaching has been effective when the client states which of the following?

Ill need to remain in the clinic for 30 minutes after each shot in case I have a bad reaction

A client reports bilateral pain and swelling in her finger joints, with stiffness in the morning. The finger joints are erythematous and warm to the touch. The client tells the nurse she has a long family history of arthritis. To help diagnose this client's

Rheumatoid factor (RF)

A nurse is assessing a client who has an exacerbation of herpes zoster. The nurse examines the clients skin for which of the following

Unilateral, localized, nodular skin lesions