Adult Health Adaptive Quizzing

What should be included when planning care to address the nutritional status of a client with AIDS? Select all that apply. 1 Offer ice chips throughout the day 2 Instruct on the use of oral anti-fungal medication 3 Collaborate with the dietitian for small frequent meals 4 Emphasize an eating plan incorporating high-fat food items 5 Schedule routine mouth care, avoiding alcohol-based mouthwashes

1,2,3,5 rationale: ice chips will keep the mucus membranes moist. small frequent meals are better tolerated than large meals. Foods high in fat should be avoided because fat intolerance often occurs as a result of the disease and as a side-effect of some of the drugs prescribed. Mouth care can improve appetite but it is important not to use alcohol as it can dry out the mucus membrane

While recovering from abdominal surgery a client develops thrombophlebitis. Which clinical indicators of this complication should the nurse expect to identify when assessing the client? Select all that apply. 1 Pain in the calf 2 Intermittent claudication 3 Redness in the affected area 4 Pitting edema of the lower leg 5 Ecchymotic areas around the ankle 6 Localized warmth in the lower extremity

1.3.6 Rational: 1. Pain in r/t the edema associated with the inflammatory response. 2. Intermittent claudication (pain when walking, resulting from tissue ischemia) may occur with peripheral arterial disease. 3. redness is r/t vasodilation and the inflammatory response. 4. although some localized edema occurs, pitting edema does not occur in thrombophlebitis. 5. ecchymosis is a sign of bleeding; thrombophlebitis is caused by a clot. 6. thrombophlebitis is inflammation of a vein that occurs with the formation of a clot. warmth is r/t vasodilation.

A spouse of a client with pulmonary tuberculosis (TB) receives a tuberculin skin test. The nurse reads the test and identifies an area of induration greater than 10 mm. What does this result indicate to the nurse?

Additional tests are necessary

A client with multiple myeloma who is receiving chemotherapy has a temperature of 102.2° F (39° C). The temperature was 99.2° F (37.3° C) when it was taken 6 hours ago. What is a priority nursing intervention in this case?

Administer the prescribed antipyretic and notify the primary health care provider.

A nurse is caring for a client with heart failure. The healthcare provider prescribes a 2-gram sodium diet. What should the nurse include when explaining how a low-salt diet helps achieve a therapeutic outcome?

Allow excess tissue fluid to be excreted

A client is admitted to the unit with a crushed chest, abdominal trauma, a probable head injury, and multiple fractures. The nurse should provide what initial emergency care?

Assess vital signs, control accessible bleeding, and determine the presence of critical injuries

In clients with Goodpasture syndrome, what is the pathophysiology of this syndrome?

Auto-antibodies attack the glomerular basement membrane and neutrophils

The nurse observes a window washer fall 25 feet (7.6 m) to the ground, rushes to the scene, and determines that the person is in cardiopulmonary arrest. What should the nurse do first?

Begin chest compressions

A client with heart disease asks about cholesterol intake. When teaching the client, the nurse will explain what about cholesterol? 1 Found in both plant and animal sources 2 Causes an increase in serum high-density lipoprotein (HDL) 3 Should be eliminated because it causes the disease process 4 Contributes to high levels of low-density lipoprotein (LDL)

Contributes to high levels of LDL cholesterol contributes to heart disease but is not the cause. Exercise helps increase HDL.

Which process does the IgD immunoglobulin support?

Differentiation of B-lymphocytes

A client has a body temperature of 102.8° F along with chills; dysuria; urethral discharge; and a boggy, tender prostate. Which organism is responsible for this condition?

E. Coli This causes the prostatitis

A nurse is advising a client about the risks associated with failing to seek treatment for acute pharyngitis caused by beta-hemolytic streptococcus. For what health problem is the client at risk?

Endocarditis

Which disease conditions involve a cytotoxic hypersensitivity reaction? Select all that apply. Graves' disease Contact dermatitis Myasthenia gravis Rheumatoid arthritis Immune thrombocytopenic purpura

Graves disease Myasthenia Gravis Immune thrombocytopenic purpura

A construction worker sustains a puncture from a rusty nail. It is unknown when the worker had the last immunization for tetanus, and the primary health care provider prescribes tetanus immune globulin. What protection does this type of immunization offer?

Immediate passive short-term immunity

A nurse prepares a client for insertion of a pulmonary artery catheter. What information can be obtained from monitoring the pulmonary artery pressure? Stroke volume Venous pressure Coronary artery patency Left ventricular functioning

Left Ventricular functioning- information is obtained after inflating the balloon catheter Stroke volume- this is the amount of blood ejected by the left ventricle with each contraction which is not provided by a pulmonary catheter Venous pressure- even though this can be obtained with a pulmonary catheter it is not as specific as a pulmonary wedge catheter coronary artery patency- patency of coronary arteries is usually evaluated by cardiac catheterization

Which hormone is crucial for ovulation and complete maturation of a client's ovarian follicles?

Luteinizing hormone

A client with a history of heart disease has been receiving a calcium channel blocker and morphine sulfate for pain from abdominal surgery. When getting the client out of bed, the nurse first should have the client sit on the edge of the bed with feet on the floor. What untoward client response can be prevented by this nursing action?

Postural hypotension

What organism causes malaria?

Sporoza

Which cells are affected by Digeorge syndrome?

T Cells It is a primary immune deficiency disorder

What is the causative organism for syphilis?

Treponema pallidum

Which is the first medication approved to reduce the risk of human immunodeficiency virus (HIV) infection in unaffected individuals?

Truvada

What type of hypersensitivity reaction is the cause of systemic lupus erythematosus?

Type III

A client is admitted to the hospital from the emergency department with a diagnosis of urolithiasis. The nurse reviews the client's clinical record and performs an admission assessment. Which is the priority nursing action?

administer the prescribed morphine

A pregnant woman presents with a body temperature of 103 °F, cough, headache, muscle aches, chest pain, severe joint pain and night sweats and is diagnosed with coccidioidomycosis. Which medication will the nurse most likely observe prescribed on the medication administration record?

amphotericin B This drug is safe for pregnant women because it will not affect the fetus

Which intervention is most likely to decrease mortality in the septic client?

antibiotics

Which symptoms are observed in a client with Sjögren's syndrome? Select all that apply. a. angioedema b. tooth decay c. corneal ulcers d. vaginal dryness e. pulmonary hemorrhage

b, c, d

compound fracture

bone protrudes through a break in the skin

What is pericardial friction?

high pitched scratchy sounds heard at the apex

The T lymphocytes in a healthy older adult client are 120 cells/mm3 (120 cells/uL). The chest x-ray reveals shrinkage of the thymus gland. What might have led to the client's condition?

immunosenescence primary cause of thymic shrinking.

A nurse is caring for a client who is human immunodeficiency virus (HIV) positive. Which complication associated with this diagnosis is most important for the nurse to teach prevention strategies?

infection

passive artificial immunity

injection of antibodies prepared in another host

A nurse is developing a teaching plan for a client with scleroderma. What should the nurse include about skin care?

keep skin lubricated with lotion

A client with mild diarrhea is diagnosed with a Clostridium difficile infection. Which is the first-line drug that would be used to treat this condition?

metronidazole

The image illustrates the toe of a client with a sexually transmitted infection (STI). Which other symptom should a nurse assess for in the client with this disease?

mucopurulent cervical discharge

active natural immunity

natural exposure to an antigen

Which viral infection will cause the nurse to observe for warts?

papilloma virus

he nurse benefits the client?

rinse mouth with normal saline after every meal

Which electrolyte deficiency triggers the secretion of renin?

sodium

complete fracture

the bone is broken into two parts and the skin may or may not be broken

comminuted fracture

the bone is fragmented

passive natural immunity

transfer of antibodies from a mother to her fetus or baby

active artificial immunity

vaccination. Deliberate exposure to an antigen (vaccine)

A client begins therapy with a new medication. One month later the client notices blood in the urine. Which drug does the nurse anticipate as the cause?

warfarin

greenstick fracture

when splintering has occurred on one side of the bone and bending on the other