EAQ 1

A child in respiratory distress is admitted to the hospital and diagnosed with acute spasmodic laryngitis (spasmodic croup). At the time of discharge which recommendation would the nurse make to the parent for handling another attack at home?

"Place them near a cool-mist humidifier"

Which response would a nurse give to a client with tuberculosis who takes combination therapy with isoniazid, rifampin, pyrazinamide and streptomycin who makes the statement "I've never had to take so much medication for an infection before."?

"The bacteria causing this infection are difficult to destroy."

Which response would a nurse give when a client asks what to expect when beginning treatment for tuberculosis?

"Therapy will occur over two phases"

Which response would the nurse give when caring for a client with an upper respiratory infection who asks why the health care provider did not prescribe an antibiotic?

"Upper respiratory infections are generally caused by viruses and would not be treated with antibiotics."

Which statement made by the client indicates understanding after teaching about measures to decrease the risk for antibiotic-resistant infections?

-"I should avoid taking antibiotics to treat the common cold" -"I should avoid taking antibiotics without asking the primary health care provider" -I should wash my hands frequently"

Which condition triggers humoral immunity?

-atopic diseases -bacterial infection -anaphylactic shock

Which function of leukocytes is involved in the inflammation process?

-destruction of bacteria and cellular debris -release of vasoactive amines during allergic reactions

The nurse conducts an initial interview and would suspect the client has tuberculosis based on which clinical indicator?

-hemoptysis -night sweats

Which change would the nurse assess for in a client who has sustained skin injuries 3 days ago?

-local edema -erythema

Which option is an example of actively acquired specific immunity?

-recovery from measles -recovery from chickenpox -immunization with live or killed vaccines

In which order do events occur in stage 1 of the inflammatory process?

1. Blood vessel changes cause redness and tissue warmth 2. Increased blood flow causes swelling at the site of the injury 3. Capillary leak causes pain 4. Edema from plasma leaking protects further injury 5. Cytokine is released to produce more white blood cells

Arrange the sequencing required to stimulate antibody-mediated immunity

1. exposure of antigen 2. antigen recognition 3. sensitization 4. antibody production 5. antibody-antigen binding 6. antigen elimination

Which communicable infection would a nurse in the pediatric clinic be concerned about after receiving a call from the mother of a 12-month-old infant who has had a fever, runny nose, cough and white spots in the mouth for 3 days with a rash that started on the face and has now spread to the entire body?

Rubeola

After noting 12 mm of induration at the site of a tuberculosis skin test (TST) in a client with no tuberculosis risk factors, which information would the nurse give the client"

The result is negative, and follow-up is not needed

Which finding would the nurse identify as normal inflammation versus an infection when assessing a client's wound that was sutured 72 hours ago?

a slight red border around the wound

Which action describes the process of artificial active immunity?

antibodies are made after an antigen is injected into the body

Which type of immunity will clients acquire through immunizations with live or killed vaccines?

artificial active immunity

Which meal is most appropriate for a client with a large pressure injury?

grilled chicken, steamed spinach and a side of orange slices

Which statement indicates the meaning of "a shift to the left" when evaluating the white blood cell count differential?

increased immature neutrophils

Two days after delivery a client has a temperature of 101*F, general malaise, anorexia and chills. Which clinical finding would the nurse expect to identify on the client's laboratory report?

increased white blood cell (WBC) count

When naloxone has been administered to a client with an opiate overdose, which action is most important for the nurse to take?

observe respiratory rate and depth

Which condition would the nurse suspect in a client with mumps who reports pain, inflammation and swelling of the testes?

orchitis

Which action by the nurse is the priority when admitting a client who has a productive cough, fever and chills and reports having children at home with whooping cough (pertussis)?

place client on droplet precautions

Which nursing action is beneficial for the client who has pain due to muscle spasm?

providing heat compresses at the site

Which type of immunity is conferred when an 11-year-old boy who has stepped on a rusty nail is given tetanus immune globulin in the emergency department?

temporary passive acquired immunity