nursing immunity

which medication may have caused a client undergoing therapy with an antiproliferative immunosuppressive medication to develop thrombocytopenia

azathioprine

which leukocyte is responsible for the allergic response

basophils

the nurse is interviewing a client who was diagnosed with systemic lupus erythematosus (SLE) which clinical findings to this disease would the nurse expect the client to exhibit?

butterfly facial rash inflammation of the joints

which action would the nurse implement when a client develops an anaphylactic reaction? Select all that apply.

call the rapid response team initially apply oxygen elevate head ensure emergency airway equipment

which preferred medication will the nurse administer to a client hospitalized with pneumococcal pneumonia

ceftriaxone

which of the four clients with tuberculosis is at risk for sunburn when taking their prescribed medication

client 4

which clients laboratory results indicate the third stage of human immunodeficiency virus (HIV) disease

client a

which clients prescribed medication increases the risk for development of aseptic meningitis

client a

which clients prescribed medication places them at the lowest risk for developing hepatotoxicity

client c

which medication inhibits organ transplant rejection by stopping the secretion of IL-2

cyclosporine tacrolimus

which clinical manifestation would the nurse observe in a client diagnosed with blackwater fever secondary to malaria?

dark red urine

which sign of altered mental health functions is associated with acquired immunodeficiency syndrome

delusions memory loss hopelessness paranoid thinking

which assessment findings would the nurse identify in a client with clinical manifestations of rheumatoid arthritis (RA)

developmental of antinuclear antibodies inflammatory disease pattern bilateral involvement of metacarpophalangeal

which clinical manifestation would the nurse expect when assessing a client with a type IV delayed hypersensitivity reaction?

edema ischemia induration tissue damage

In addition to Pneumocystis jiroveci, a client with acquired immunodeficiency syndrome (AIDS) has an ulcer 4 cm in diameter on the leg. Considering the client's total health status, which is the most critical concern.

gas exchange

which action will the nurse take first when treating a client who is having an anaphylactic reaction?

give epinephrine 0.5 mg intramuscularly

which statement explains goodpasture syndrome and deposits of immunoglobulin G along the basement membranes of the lungs

goodpasture syndrome occurs when circulating antibodies combine with tissue antigens

which finding would the nurse expect to identify in a client who has osteoarthritis that would not be present in clients with rheumatoid

heberden nodes

which adverse effect would a nurse monitor for in a client with HIV associated pneumocystis jiroveci pneumonia who is to receive pentamidine isethionate intravenously (IV) once daily?

hypoglycemia

which common side effects will a nurse monitor for in a client with a diagnosis of acquired immunodeficiency syndrome (AIDS) who receives pentamidine for a protozoal infection

hypoglycemia and decreased blood pressure

which medication inhibits tumor necrosis factor-alpha (TNF)- a in clients treated for rheumatoid arthritis

infliximab etanercept golimumab

which intervention would the nurse implement to help the significant other cope with the impending death of a client dying of AIDS who tells the nurse "Life is not worth living without my partner"

involve the significant others support system

which essential test results will the nurse review before starting antitubercular pharmacotherapy when caring for a client with human immunodeficiency virus (HIV) infection who is diagnosed with tuberculosis

liver function studies

which intervention would the nurse include in the plan of care for a client receiving anakinra therapy for rheumatoid arthritis

monitor the injection site monitor clients neutrophil blood cell before the initial dose, teach the client

which nutritional intervention would the nurse include when planning care for a client with acquired immunodeficiency syndrome

offer ice chips instruct se of oral antifungal medication collaborate with the dietitian schedule routine mout care

which intervention is the appropriate initial nursing action when a client reports urinary urgency and frequency during an exacerbation of multiple sclerosis?

palpate the suprapubic area of the abdomen

which document diagnosis would the nurse observe in the clients electronic medical record when laboratory tests reveal the presence of human leukocyte antigen

reiter's syndrome

which condition would the nurse suspect when the blood report of a client with a fungal infection reveals the presence of immunoglobulin M and IgG antibodies with the skin test response of erythema and edema within 3 hours after planting?

rheumatoid arthritis acute glomerulonephritis systemic lupus erythematosus

a 6 year old child has not been feeling well, is weak and lethargic, and smoky colored urine. which additional information would the nurse obtain that will aid the child's diagnosis

strep throat in the past 2 weeks

the nurse identifies silvery scales on a client's elbows and knees. which finding in the client's history will help the nurse identify the origin of this rash

stress in recent months

which type of medication would put a person at risk if they were exposed to the varicella virus

systemic corticosteroid

which medication may be coadministered with mycophenolate mofetil as treatment for late graft loss in a client with a renal transplant

tacrolimus cyclosporine

which information would be important for the nurse to include in the teaching plan of a client with systemic lupus erythematosus to reduce the frequency of exacerbations?

techniques to reduce stress

which action by an uninfected individual would not pose a risk of exposure to HIV?

the individual donates a pint of blood to the blood bank

which type of hypersensitivity may have occurred in the client with elevated histamine and prostaglandin levels, allergic rhinitis, and asthma

type 1

which condition may be present in the client with localized vasodilation, transudation of fluid and erythema

urticaria

which instruction would the nurse provide a client prescribed rifampin for tuberculosis?

you should report any yellow tinge to your skin your soft contact lenses will be stained permanently you should report any increased tendency to bruising or bleeding

the nurse is preparing to administer vaccinations to four different infants. which infants vaccination plan requires correction?

12 month old baby

which potential immunological reaction may occur in a client who experiences localized edema and itching from an insect bite

anaphylaxis

a client with a known history of peanut allergy reports to the hospital with severe rashes with edematous papules all over the body. further investigations reveal that the client developed the allergy immediately after the intake of peanut butter. arrange the steps sequentially for the development of these changes

1. exposure to allergen 2. formation of wheals 3. release of histamine 4. dilation of blood vessels 5. leakage of plasma proteins

while performing a neck assessment, the nurse finds the client has enlarged lymph nodes, a history of intravenous drug use, and bisexual activity. Which possible diagnosis would the nurse suspect

HIV

a 6 month old infant is to receive scheduled immunizations. the parent asks why two influenza vaccines are given: haemophilus influenzae type b (Hib) and pneumococcal conjugate vaccine (PCV). which response by the nurse is appropriate

Hib and PCV prevent different bacterial diseases

which strategies would the nurse apply when vaccinating a child to decrease pain and anxiety. select all that apply

apply a topical anesthetic injecting the most painful vaccine last holding the child upright during vaccination administering intramuscular injections

a 4 year old child diagnosed with sickle cell anemia is at high risk of acquiring pneumococcal diseases. the child has previously received two doses of the pneumococcal conjugate vaccine. (PCV) based on the immunization protocol, which dose of PCV should the nurse administer?

administer two more doses of PCV