Allergy/Rheumatic practice Test NUR212
A nurse is creating home instructions for a client who has immunodeficiency. Which of the following statements by the client indicates an understanding of the teaching?
"I will avoid people who have just received an immunization"
A nurse is caring for a client who asks about the functions of the thymus, spleen, and lymph nodes. Which of the following responses should the nurse make?
"These organs support immunity"
A nurse is preparing to administer diphenhydramine 30 mg IM stat to a client who is having an allergic reaction. Available is diphenhydramine 50 mg/1 mL. How many mL should the nurse administer? (round the answer to the nearest whole tenth. Use a leading zero if it applies. Do not use a trailing zero)
0.6 mL
A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematous (SLE). The nurse should recognize the need for further teaching when the client identifies which of the following as a factor that can exacerbate SLE?
Exercise
A nurse is reviewing the lab results of an adolescent female client and notes a WBC count of 16000/mm3 with increased immature neutrophils (bands) and normal monocytes. Which of the following is the appropriate analysis of the results?
An acute infectious process
A nurse is assessing a client who has systemic lupus erythematosus and is taking hydroxychloroquine. The nurse should report which of the following adverse effects to the provider immediately?
Blurred vision
A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The nurse should inform the client that which of the following is a therapeutic effect of this medication?
Decreases inflammation -decreases pain, and increases mobility
A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?
Facial rash -"butterfly" rash that is dry, scaly, red, and raised
A nurse is monitoring a client who is receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?
Generalized urticaria -other manifestations: itching and signs of anaphylaxis with bronchospasm
A nurse remains with a client to observe for any adverse reactions after initiating a transfusion of packed RBCs. The client becomes apprehensive and tachycardic, reporting headache and low back pain. The nurse should recognize that these findings indicate which of the following transfusion reactions>
Hemolytic
A nurse is assessing a client who has a puncture wound on his foot. Which of the following findings is a manifestation of acute osteomyelitis?
Localized erythema
A nurse is assessing a client who is taking oxacillin to treat an infection. The nurse should recognize which of the following findings is a manifestation of an allergic reaction?
Pruritus -and urticaria
A nurse is teaching a group of clients about first aid care for a bee sting. Which of the following info should the nurse include in the teaching?
Remove the stinger by scraping it off with a knife blade
A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?
"This test will confirm if your child had a recent streptococcal infection"
A nurse is creating the plan of care for a client who is immunosuppressed. Which of the following precautions should the nurse include in the plan? (select all that apply)
-Don a mask, gloves, and gown -Restrict visitors who have active infections -Instruct the client to eat cooked food only
A nurse is preparing to transfuse one unit of packed RBC to a client who experienced a mild allergic reaction during a previous transfusion. The nurse should administer diphenhydramine prior to the transfusion for which of the following allergic responses?
Urticaria (hives)
A nurse in an allergy clinic is caring for a client who has a history of seasonal allergy symptoms. The client had a radioallergosorbent test (RAST) completed on a previous visit. The nurse should recognize that an elevation in which of the following immunoglobulins indicates a positive result?
IgE
A nurse is assessing a client's immune function by reviewing the lab value of the cellular response of the T-cells. The nurse should recognize that which of the following conditions is affected by the T-cells?
Transplant rejection
A nurse is providing discharge teaching to a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?
Wash the hair with a mild protein shampoo
A nurse is assigned to care for a client diagnosed with autoimmune or idiopathic thrombocytopenic purpura (ITP). When reviewing the client's plan of care prior to caring for the client, the nurse should recognize that the priority concern in caring for the client is to monitor for
bleeding -Thrombocytopenia refers to a decreased platelet count
A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client?
the medication should be discontinued 3 months prior to a planned pregnancy
