medical-surgical: immune and infectious

a nurse is teaching a client who has human immunodeficiency virus (HIV) about how the virus is transmitted. which of the following statements should the nurse include in the teaching

HIV can be transmitted to anyone who has had contact with infected blood

a nurse is providing discharge instructions to a male client who is being treated for genital warts. which of the following statements indicates that the client understands how to prevent the transmission of this sexually transmitted infection (STI)

I will bring my sexual partner for treatment

a nurse is providing discharge teaching to a client who has a new diagnosis of systemic lupus erythematosus (SLE). which of the following statement by the client indicates an understanding of the teaching

I will need to take methotrexate even if i'm in remission

a nurse is caring for a client who underwent radioallergosorbent (RAST) testing due to seasonal allergies. the nurse should anticipate an elevation in which of the following immunoglobulin laboratory values? a. IgM b. IgA c. IgG d. IgE

IgE

a nurse is teaching a client who has AIDS about the transmission of pneumocystis jiroveci pneumonia (PCP). which of the following pieces of information should the nurse include in the teaching

PCP results from an impaired immune system

a nurse in a clinic is assessing a client who was diagnosed with mononucleosis 2 weeks ago. which of the following findings should the nurse report to the provider immediately a. headache and fatigue b. swollen lymph nodes in the neck c. abdominal pain in the left upper quadrant d. fever and sore throat

abdominal pain in the left upper quadrant

a nurse is teaching a client who has genital herpes about self-management. which of the following instructions should the nurse include in the teaching a. use an alcohol-based soap to clean lesions b. wear a condom during sexual activity when leisions are present c. take sitz bath once per day d. apply a warm compress to the lesions

apply a warm compress to the lesions

a nurse is caring for a client who has systemic lupus erythematosus (SLE) and is concerned about skin lesions on her face and neck. the client asks the nurse, what should i do about these spot? which of the following responses should the nurse give

apply moisturizer after bathing the lesions with warm water apply topical corticosteroids pat dry lesions with washcloths to dry after washing

a nurse is providing discharge teaching to a client who has HIV. which of the instructions about infection prevention should the nurse include a. avoid large gatherings of people b. clean toothbrush by running through the dishwasher c. change pet litter boxes with disposable gloves d. consume fresh fruit and raw vegetables e. avoid digging in the garden

avoid large gathering of people clean toothbrush by running through the dishwasher avoid digging in the garden

a nurse is planning care for a client who has AIDS and has developed stomatitis. which of the following interventions should the nurse include in the plan of care a. rinse the mouth with chlorhexidine solution every 2 hr b. limit fluid intake with meal c. provide oral hygiene with a firm-bristled toothbrush after each meal d. avoid salty foods

avoid salty foods

a nurse health nurse is planning care for a client who is receiving chemotherapy and has neutropenia. which of the following foods should the nurse include in the client's plan of care a. soft-boiled egg b. brie cheese made with unpasteurized milk c. cold deli-meat sandwiches d. baked chicken

baked chicken

a burse is performing a preoperative assessment of a client about to undergo a cholecystectomy. the nurse should identify a risk for a latex allergy when the client reports an allergy to which of the following foods a. cabbage b. oatmeal c. milk d. banana

banana

a nurse is caring for a client who is suspected to have tuberculosis. which of the following findings should the nurse expect a. recent weight gain b. high fever c. rhinitis d. blood-streaked sputum

blood-streaked sputum

a nurse is planning care for a client who has acute systemic lupus erythematosus (SLE) and is scheduled to begin treatment for systemic manifestations. which of the following types of medications should the nurse plan to administer a. corticosteroids b. antimalarials c. antidepressants d. opioids

corticosteroids

a nurse is caring for a client who is 2 days postoperative. which of the following findings indicate the client is developing an infection a. temperature 37.8 (100) b. erythema at the incision site c. WBC count 9000/mm3 d. pain reported a 6 on a scale of 0-10

erythema at the incision site

a nurse is reviewing the laboratory data of a client who reports manifestations suggesting systemic lupus erythematosus (SLE). the nurse should expect an increase in which of the following parameters for client who has SLE a. platelet count b. RBC count c. Hct d. erythrocyte sedimentation rate (ESR)

erythrocytes sedimentation rate (ESR)

a nurse is teaching a female client with a new diagnosis of systemic lupus erythematosus (SLE) about factors that can trigger an exacerbations of SLE. the nurse should determine that the client requires further teaching if she identifies which of the following as an exacerbation factor a. exercise b. pregnancy c. infection d. sunlight

exercise

a nurse is teaching a client about preventing the transmission of hepatitis A. the nurse should identify that hepatitis A is transmitted by which of the following routea a. maternal-fatal b. fecal-oral contamination c. genital sexual contact d. blood to blood

fecal-oral contamination

a nurse is assessing a client who has systemic scleroderma. which of the following findings should the nurse expect a. excessive salivation b. finger contracture c. periorbital edema d. alopecia

finger contracture

a nurse is planning an educational program for a group of young adults about reducing the risk of cervical cancer. which of the following interventions should the nurse include

get the human papillomavirus (HPV) immunization

a nurse is monitoring a newly licensed nurse who is caring for a client. the client has active pulmonary tuberculosis, was places on airborne precautions, and is scheduled for a chest x-ray. the nurse should instruct the newly licensed nurse to take which of the following actions a. have the client wear a surgical mask b. wear a gown for protection from the client's infection c. ask the radiology staff to perform a portable chest x-ray in the client's room d. place an N-95 respirator on the client--- the nurse should wear this

have the client wear a surgical mask

a nurse is caring for a client who is experiencing an acute exacerbation of rheumatoid arthritis. the nurse should anticipate that the client's affected joints will require which of the following treatment a. an assistive device when the client is ambulating b. heat paraffin therapy applied to the client's joint c. gentle massage of the client hand d. active range-of-motion exercises on the client's affected joint

heat paraffin therapy applied to the client's joint

a nurse is working with an assistive personnel (AP) who is assigned to bathe a client with hepes zoster. the AP asks the nurse if hepes zoster is contagious. which of the following responses should the nurse make

herpes zoster is not contagious to people who have had chickenpox

a nurse is teaching a client who has tuberculosis about a new prescription for rifampin. which of the following statements by the client indicates an understanding of the teaching

i can expect this medication to turn my skin orange

a nurse in a provider's office is teaching a client with a recent diagnosis of rheumatoid arthritis who has a new prescription for naproxen tablets. which of the following statements by the client indicates the need for further teaching a. after taking tis medication for 4 weeks i will start to notice relief in my joint b. i can take an antacid with this medication for indigestion c. i can take this medication with aspirin d. the naproxen goes down easier when i crush it and put it in applesauce

i can take this medication with aspirin

a nurse is teaching a client who was recently diagnosed with Raynaud's disease about preventing the onset of manifestations. which of the following statements by the client indicates an understanding of the teaching a. i should limit my exposure to sunlight b. i should avoid drinking alcohol c. i should not smoke d. i should limit of intake of foods that are high in purinesc

i should not smoke

a nurse is providing teaching to a client who has a diagnosis of hepatitis A. which of the following statements by the client indicates an understanding of the teaching. a. i am unable to donate blood b. i will need to get a booster shot of serum globulin every year c. i should stop eating raw clams d. i can develop this disease by getting a tattoo

i should stop eating raw clams

a nurse is providing discharge teaching to the partner of a client who has acquired immune deficiency syndrome (AIDS). which of the following statements by the client's partner indicates a need for further teaching

i will clean up blood spills immediately with hot water

a nurse is teaching a client who tested positive for an allergy to dust. the nurse should determine that the client understands how to reduce her exposure to this allergen through which of the following statments

i will put a mattress cover on my bed

a nurse is providing discharge teaching about foot care to a client who has diabetic neuropathy. which of the following statements by the client demonstrates an understanding of the teaching

i will wash my feet daily and apply lotion expect between my toes

a nurse is teaching a client about the manifestations of allergic reactions. the release of histamine causes which of the following reaction a. increased mucus secretion b. bronchial dilation c. bradycardia d. vertigo

increased mucus secretion

a nurse is teaching a client with systemic lupus erythematosus who has a new prescription for prednisone. the nurse should instruct the client to monitor for which of the following adverse effects of this medication a. hypoglycemia b. tendinitis c. infection d. weight loss

infection

a nurse is admitting a client who has manifestations that suggest tuberculosis. which of the following actions is the nurse's priority a. initiate airborne precautions b. administer antimicrobial therapy c. tell the client that the infection will be communicable for 2-3 weeks from the start of medication therapy d. teach the client about the manifestations of tuberculosis

initiate airborne precautions

a nurse is caring for a client who has human immunodeficiency virus (HIV). the client ask the nurse, should i tell my partner that i am HIV positive? which of the following statements should the nurse provide

it sounds like you are unsure what to say to your partner

A nurse is assessing a 66 year old client during a routine physical examination. this is the client's first clinic visit, and she does not have her medical records. when the nurse asks if she has received the pneumococcal immunization, the client replies, i am not sure, but it's been at least 5 years since I have had any immunization which of he following responses should the nurse provide? a. in case you had the immunization before, we can't give you another one b. you will need a series of 3 injections c. this immunization is unsafe for people over the age of 65 years old d. let's go ahead and give you this immunization

let's go ahead and give you this immunization

a nurse is planning discharge teaching for a client who has systemic lupus erythematosus (SLE). which of the following instructions should the nurse include a. avoid the use of NSAIDS b. stop taking the corticosteroids when your symptoms resolves c. exposure to ultraviolet light will help control the skin rashes d. monitor your temperature and report any elevations promptly

monitor your temperature and report any elevations promptly

a nurse is caring for a male client who reports a thick urethral discharge. which of the following actions should the nurse take a. contact the client sexual partners b. obtain a urethral specimen for culture c. prepare to administer penicillin to the client d. obtain blood for a rapid plasma reagin test

obtain a urethral specimen for culture

a nurse is caring for a client who has pseudomembranous colitis due to a clostridium of difficile infection. which of the following interventions is the nurse priority a. performing hand hygiene before and after contact with the client b. reducing client anxiety due to isolation procedures . c. assisting the client in making nutritional choices d. monitoring the client's intake and output

performing hand hygiene before and after contact with the client

a nurse is caring for a client who is concerned about the possibility of contracting lyme disease after receiving a tick bite. for which of the following early manifestations of lyme disease should the nurse assess the client a. diffuse maculopapular rash b. dyspnea c. double vision d. progressive circular rash

progressive circular rash

a nurse is teaching a client who has raynaud's disease. which of the following pieces of information should the nurse include in the teaching

protect against the cold by wearing layers of clothing

a nurse is assessing a client who has kaposi sarcoma. which of the following findings should the nurse expect

reddish -purple skin lesions

a nurse is planning care for a client. which of the following interventions should the nurse include in the plan a. advance diet to soft b. perform active and passive range-of-motion (ROM) exercises twice daily c. apply compression garments 23 hr daily d. restrict visitors

restrict visitors

a nurse is reviewing the laboratory result for a client who reports bilateral pain and swelling in her finger joints, with stiffness in the morning. the nurse should recognize that an increase in which of the following laboratory values can indicate arthritis a. reticulocyte count b. rheumatoid factor c. direct Coomb's test d. platelet count

rheumatoid factor

a nurse is caring for a client who has human immunodeficiency virus (HIV). which of the following types of isolation should the nurse implement to prevent the transmission of HIV a. protective isolation b. droplet precaution c. standard precautions d. airborne precaution

standard precautions

a nurse is evaluating the injection site of a client who had a Mantoux skin test 48 hr ago. the nurse finds 10mm of induration with slight redness. which of the following conclusions should the nurse make. a. the client has active tuberculosis b. the client had an exposure to tuberculosis c. the nurse must re-evaluate the result in 24 hr d. the test is negative for tuberculosis

the client had an exposure to tuberculosis

a nurse is providing teaching to a client who has a new prescription for alprazolam. which of the following items is a priority for teaching

this medication can affect your ability to drive or handle mechanical equipment

a nurse is preparing to administer a mantoux skin test to a client. what is the purpose of a mantoux skin test using purified protein derivative ?

to identify if a client has been infected with mycobacterium tuberculosis

a nurse is assessing a client who has an exacerbation of herpes zoster. which of the following manifestations of the client skin should the nurse expect a. confluent, honey-colored, crusted lesions b. a large, tender nodule located on a hair follicle c. unilateral, localized nodular skin lesions d. a fluid-filled vesicular rash in the genital region

unilateral localized nodular skin lesions

a nurse is conducting dietary teaching for a client who has AIDS. which of the following instructions should the nurse include in the teaching a. discard leftover after 8 hrs b. use a separate cutting board for poultry c. thaw frozen foods at room temperature d. store cold foods at 10 degree (50 degree) or less

use a separate cutting board for poultry

a nurse is caring for a client with clostridium defficile who has contact-isolation precaution in place. which of the following actions should the nurse perform

use dedicated equipment for the client

a nurse is providing teaching about foot care to a client who has diabetes mellitus. which of the following pieces of information should the nurse include in the teaching

wash your feet daily using lukewarm water and saop

a nurse is providing discharge teaching to a client who has AIDS about preventing infection while at home. which of the following instructions should the nurse include in the teaching

wash your genitalia using an antimicrobial soap wash toothbrush in dish washer ones per week

a nurse is teaching a client who has human immunodeficiency virus (HIV) about the early manifestations of acquired immune deficiency syndrome (AIDS). which of the following statements should the nurse include in the teaching a. you can expect a persistent fever and swollen glands b. you can expect an elevated white blood cell count---decrease c. you can expect increased blood pressure and edema--hypotension d. you can expect weight gain--weight loss

you can expect a persistent fever and swollen glands

a nurse is providing dietary teaching for a client with AIDS who has stomatitis of the mouth. which of the following instructions should the nurse include in the teaching a. you can suck on popsicles to numb your mouth b. season food with spices instead of salt c. avoid the use of a straw to drink liquids d. eat foods at hot temperature

you can suck on popsicles to numb your mouth