ADULT HEALTH: Immune

When a patient with SYSTEMIC LUPUS ERYTHEMATOUS get a Complete blood cell count. What will be reported after the blood test?

In the client with SLE, a complete blood count commonly shows pancytopenia, a decrease of all cell types, probably caused by a direct attack of all blood cells or bone marrow by immune complexes. The other options are incorrect.

The home care nurse is collecting data from a client who has been diagnosed with an allergy to latex. In determining the client's risk factors associated with the allergy, the nurse questions the client about an allergy to which food item?

Individuals who are allergic to kiwis, bananas, pineapples, tropical fruits, grapes, avocados, potatoes, hazelnuts, and water chestnuts are at risk for developing a latex allergy.

Kaposis sarcoma

Kaposi's sarcoma is a vascular malignancy that presents as a skin disorder and is a common acquired immunodeficiency syndrome indicator. It is seen frequently in men with a history of same-sex partners. Although the cause of Kaposi's sarcoma is not known, it is considered to be the result of an alteration or failure in the immune system

(AIDS) patient who is experiencing night fever and night sweats. The nurse advises the client to do which of the following to increase comfort while minimizing symptoms?

Keep liquids on the nightstand at home.

Lyme disease

Lyme disease is a multisystem infection that results from a bite by a tick carried by several species of deer. Lyme disease cannot be transmitted from one person to another

HIV positive is considered to have a positive result of Mantoux skin testing

With an area of 5 mm of induration or greater

Indinavir (Crixivan)

"I need to take the medication with water but on an empty stomach." To maximize absorption, the medication should be administered with water on an empty stomach. The medication can be taken 1 hour before a meal or 2 hours after a meal

care of a client at high risk for an allergic response to a latex allergy.

- Use non-latex gloves. - Use medications from glass ampules. - Do not puncture rubber stoppers with needles. - Keep a latex-safe supply cart available in the client's area.

if you get bitten by a tick how long does it take before you can be tested for lyme disease?

4-6 weeks because testing right away is not reliable

What is the first symptoms of Pneumocystis jiroveci?

Cough

The nurse is assisting in administering immunizations at a health care clinic. The nurse understands that immunization provides which of the following?

Acquired immunity from disease Acquired immunity can occur by receiving an immunization that causes antibodies to a specific pathogen to form. Natural (innate) immunity is present at birth. NO IMMUNIZATION PROTECT THE CLIENT FROM ALL DISEASE

The nurse is assigned to care for a client with systemic lupus erythematosus (SLE). The nurse plans care knowing that this disorder is:

An inflammatory disease of collagen contained in connective tissue

Bee sting is painful but no allergic reaction,What advice would the nurse tell the patient?

Apply Ice and elevate the site

pemphigus

a skin disease in which watery blisters form on the skin.

zalcitabine (Hivid

client who is prescribed zalcitabine (Hivid) is experiencing an adverse effect of this medication when which event is reported by the client? Numbness in the legs

Kaposi's sarcoma

is a type of cancer that mainly affects the skin, mouth, and lymph nodes

Clients with aids who experince fever and night sweats

offer an antipyretic at bedtime. It is also helpful to keep a change of bed linens and night clothes nearby for use. The pillow should have a plastic cover, and a towel may be placed over the pillowcase if there is profuse diaphoresis.

antipyretic

use to prevent fever

cutaneous Kaposi's sarcoma.

A cancer that causes lesions in the soft tissues.

The HIV test results are reported as negative, and the client tells the nurse that he feels so much better knowing that he had not contracted HIV. The nurse explains the test results to the client, telling the client that:

A negative HIV test is not considered accurate during the first 6 months after exposure.

The nurse notes that the client was sent home with crutches that have rubber axillary pads and needs instructions regarding crutch walking. On data collection, the nurse discovers that the client has an allergy to latex. Before providing instructions regarding crutch walking, the nurse should:

COVER THE CRUTCH PADS WITH CLOTH

Clients with aid who has nausea. Which dietary measure should the nurse include in the plan?

Foods that are at room temperature The client with AIDS experiencing nausea should avoid fatty products, such as dairy products and red meat. Meals should be small and frequent to lessen the chance of vomiting. Spices and odorous foods should be avoided because they aggravate nausea. Foods are best tolerated either cold or at room temperature.

Patients taking Zidovudine (RETROVIR)

Hematological monitoring should be done every 2 weeks in the client taking zidovudine

Pneumocystis jiroveci pneumonia

Pneumocystis jiroveci pneumonia is a fungal infection of the lungs. The disease used to be called Pneumocystis carini or PCP pneumonia.

how to confirm kaposis sarcoma

Punch biopsy of the cutaneous lesions

systemic lupus erythematosus (SLE)

SLE is an inflammatory disease of collagen contained in connective tissue

Immune Deficiency

The client with immune deficiency has inadequate or absent immune bodies and is at risk for infection. The priority nursing intervention would be to protect the client from infection

Stages of LYME DISEASE

The hallmark of stage I is the development of a skin rash within 2 to 30 days of infection, generally at the site of the tick bite. The rash develops into a concentric ring, giving it a bullseye appearance. The lesion enlarges up to 50 to 60 cm, and smaller lesions develop farther away from the original tick bite. In stage I, most infected persons develop flu-like symptoms that last 7 to 10 days; these symptoms may reoccur later. Neurological deficits occur in stage II. Arthralgia's and joint enlargements are most likely to occur in stage III