immune system disorders success questions

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which assessment data should the nurse is assessing a client diagnosed with Guillain-Barre syndrome

Progressive ascending paralysis of lower extremities and numbness

the client is prescribed a prick epicutaneous test to determine the cause of hypersensitivity reactions which result indicates the client is hypersensitive to the allergen

a pruritic wheel and erythema occur

after eating a Klein come to the ER complaining of dyspnea wheezing after eating at a seafood restaurant the client cannot speak has a bluish color around the mouth which intervention should the nurse Implement first

administer oxygen at 100%

the client diagnosed with an acute exacerbation of systemic lupus erythematosus is prescribed high dose steroids which statement best explains the scientific rationale for using high dose steroids

the steroids will suppress tissue inflammation which reduces damage to organs

the client diagnosed with myasthenia gravis is admitted to the ER with a sudden exacerbation of motor weakness. Which assessment data indicates the client is experiencing a cholinergic crisis

the tensilon test does not show Improvement in the client's muscle strength

26 year old female complaining of low grade fever arthralgia fatigue and a facial rash which lab test should the nurse expect if systemic lupus erythematosus is suspected

CBC and antinuclear antibody test

which intervention should be implemented for a client with cutaneous lupus erythematosus

dry the skin thoroughly by patting

the nurse is discussing autoimmune disease with the classes all of nursing students. Which symptoms are shared by rheumatoid arthritis and systemic lupus erythematosus

joint stiffness and pain

is used to diagnose myasthenia gravis

the tensilon test, and injection of edrophonium chloride

what statement is the most therapeutic response for a nurse who finds a client recently diagnosed with acute aspiration of multiple sclerosis and is crying

you seem upset. I will sit down and we can talk for a while

the client diagnosed with Guillian barres syndrome the nurse will I ever get back to normal I am so tired of being sick. Which name is best

you should make a full recovery within a few months to a year

the nurse is describing the IV Virus Infection to a client who has been told he has HIV which information regarding the virus is important to teach

HIV virus is retrovirus which means it never dies as long as it has a host to live in

client recently diagnosed with rheumatoid arthritis is prescribed aspirin a NSAID which comment by the client one's immediate intervention

I am having ringing in my ears, tinnitus is a sign of aspirin toxicity

which statement indicates a female client with systemic lupus erythematosus understands the discharge instructions

I am not going to any activities with large crowds, puts me at risk for infections

which statement by the client supports the diagnosis of Guillain-Barre syndrome

I had a really bad cold just a few weeks ago, this is usually preceded by respiratory or GI infection 1 to 4 weeks prior to onset of neurological deficits

which statement by the female client diagnosed with myasthenia gravis indicates the client understands teaching

I should have ordered people who have respiratory infections I should not take a hot bath or swim in cold water I will drink at least 2500 mL of water a day

which surgical procedure should the nurse anticipate the client with my myasthenia gravis undergoing to help prevent the signs and symptoms of the disease process

a thymectomy

client diagnosed with pneumocytis pneumonia PCP is admitted to the Intensive Care Unit which order should the nurse Implement first

administer O2 to the client via nasal cannula

the client in the ER begins to experience a severe anaphylactic reaction after an initial dose of IV penicillin an antibiotic which intervention should the nurse implement

administer Solu-Medrol a glucocorticoid IV initiate the rapid response team administer epinephrine in antigenic blocker, SQ than IV continuous assess clients pulse and respirations

client is diagnosed with myasthenia gravis. Which intervention should the nurse Implement when administering the anticholinestarase pyridostigmine mestinon

administering the medication 30 minutes prior to meals, this med increases muscle strength to help enhance swallowing and chewing during meals

which intervention should the nurse Implement to the client diagnosed with systemic sclerosis

applying moisturizer to the skin frequently

the 20 year old female client diagnosed with Advanced unremitting rheumatoid arthritis is being admitted to receive a regiment of immunosuppressive medications. Which question should the nurse ask

are you sexually active and if so are you using birth control this man should not be taken while pregnant

the nurse is admitting a client diagnosed with protein calorie malnutrition secondary to AIDs. Which intervention should bee first

assess a client's body weight and ask what he has been able to eat

which assessment intervention should the nurse Implement specifically for the diagnosis of Guillain-Barre syndrome

assess deep tendon reflexes, hyporeflexia of the lower extremities is classic clinical manifestation

the client diagnosed with myasthenia gravis is admitted with exacerbation. which intervention should the nurse implement

assist the client turn and cough every 2 hours, place the client in a Fowler's position, plan meals to promote medication effectiveness

the client with early-stage rheumatoid arthritis is being discharged from the Outpatient Clinic which instruction should the nurse teach regarding the use of NSAIDs

avoid taking on an empty stomach

client diagnosed with anaphylactic reaction is admitted to the ER which assessment data indicates the client is not responding to the treatment

client has an APA 110 and a BP of 90/60

a client with myasthenia gravis is undergoing plasmapheresis at the bedside which assessment they don't work and mediate intervention

clients BP is 94/60 and AP is 112

which signs and symptoms should the nurse expect to assess in a client diagnosed with sjogrens syndrome

complaints of dry mouth and eyes

which intervention is an important psychosocial consideration to the client diagnosed with AIDS

complete an advance directive

the client diagnosed with rheumatoid arthritis who has been prescribed etranercept a tumor necrosis factor-alpha inhibitor shows marked Improvement which instruction regarding the use of this medication should the nurse

continue to have check-ups and lab work while taking the med

client with multiple sclerosis states he has been investigating alternative therapies to treat his disease. Which intervention is most appropriate

conversion therapy if it is not contraindicated by the medical regimen

which symptoms should the nurse expect to assess in the client who is in the recovery stage of Guillain-Barre barres syndrome

descending increase in muscle strength, may take several months to 2 years

a 45 year old client diagnosed with primary Progressive multiple sclerosis, the nurse writes nursing diagnosis anticipatory grieving related to Progressive loss. Which intervention should be implemented

discuss the client's wishes regarding end-of-life care

which nursing intervention should the nurse include when teaching the client diagnosed with polymyositis

discuss the need to take corticosteroids every day for inflammation of connective tissue in muscle fibers

client diagnosed with myasthenia gravis is being discharged home. Which intervention has priority

discuss ways to help prevent choking episodes

which intervention should the nurse discuss with a female client who is positive for HIV

do not engage in unprotected sex do not donate blood, organs or tissues do not get pregnant explain the client does not have to tell Health Care Personnel of HIV status but it is recommended especially to dentist

30 year old female is admitted with complaints of numbness, tingling, crawling sensation affecting the extremities, double vision which has occurred twice in one month. What question is most important to ask

do you get tired easily and sometimes have problems swallowing, these are clinical manifestations of Ms and can go undiagnosed for years

the client is experiencing an anaphylactic reaction to bee venom which intervention should the nurse implement

establish a patent Airway start an IV with 0.9% saline administer epinephrine administer diphenhydramine teach a client to carry an EpiPen

the client has a red raised rash covering the forearms neck and face and is experiencing extreme itching which is diagnosed as an allergic reaction to poison ivy which discharge instruction should the nurse teach

explain how to take a steroid dose pack

which symptoms make the nurse suspect the most common opportunistic infection in the female client diagnosed with AIDS

fever, cough, and shortness of breath, pneumocystis pneumonia PCP occurs in approximately 75 to 80% of clients with Aid

a client newly diagnosed with multiple sclerosis States I don't understand how I got this is it genetic which statement should the nurse respond with

genetics may play a role in susceptibility to Ms but the disease be caused by a virus

the client with AIDS and dementia is referred to hospice which intervention has priority

have consistent uninterrupted time with the client

which discharge instruction should the nurse Implement for the client diagnosed with myasthenia gravis

identify specific measures to help avoid fatigue and undue stress

client is highly allergic to insect Venom and is prescribed Venom immunotherapy which statement is the scientific rationale for

immunotherapy is effective in preventing anaphylaxis following a future sting

playing made with rule out Guillain-Barre syndrome has just had a lumbar puncture which intervention should the nurse implement

increase fluid intake to prevent post-procedure headache

a nurse is developing a care plan for a client diagnosed with allergic rhinitis which independent problem has priority

ineffective breathing pattern

which priority client problem should be included in the care plan for the client diagnosed with Guillain-Barre syndrome

ineffective breathing pattern, ascending paralysis causes respiratory failure

the hcp scheduled a lumbar puncture for a client admitted with rule Guillian-Barre Syndrome which procedure intervention has priority

instruct the client to avoid to prevent accidental puncture of the bladder

the client asks the nurse which time of the year is allergic rhinitis least likely to occur which statement is the best response

least likely to occur early in winter

which symptom makes the nurse suspect the client has ankylosing spondylitis

low back pain at night relieved by activity in the morning

client diagnosed with an acute exasperation of multiple sclerosis is placed on high dose IV corticosteroid meds which intervention should be

modern in the client's serum blood glucose levels frequently, steroids interfere with glucose metabolism

the nurse is admitting a client diagnosed with multiple sclerosis which clinical manifestations should the nurse assess

muscle flaccidity, dysmetria, fatigue

the client diagnosed with AIDS is complaining of a sore mouth and tongue when the nurse assesses the buccal mucosa of the nurse notes white patchy lesions covering the palates and check what intervention should the nurse implement

notify the hcp for an order for an antifungal Swish and swallow Med

the nurse is planning the care for a client diagnosed with rheumatoid arthritis which intervention should be implemented

obtain an order for a sedated

the nurse is preparing to administer morning medication which medication should the nurse administer first

pain medication to a client diagnosed with rheumatoid arthritis

which assessment data should the nurse suspect the client has chronic allergies

pale, boggy, edematous nasal mucosa

the nurse is admitting a new client with rule out systemic lupus erythematosus which assessment data observed by the nurse reports the diagnosis

pericardial friction rub in crackles in the lungs

which actor or facial sign should the nurse expect to assess for a client diagnosed with myasthenia gravis

ptosis, dropping of eyelids or diplopia, unilateral or bilateral blurred vision

client diagnosed with Guillain-Barre syndrome is having difficulty breathing and is placed on a ventilator. Which situation warrants immediate intervention

pulse ox of 85%

the client who has engaged needle sharing activities list of all the food like infection. And HIV antibody test is negative which statement best describes the scientific rationale for this timing

quiet maybe in the primary infection phase of an HIV infection

client diagnosed with rheumatoid arthritis is being seen which prevention care should the nurse include in the regular scheduled

recommend flu and pneumonia vaccines

75% of clients with myasthenia gravis the thymus gland which usually is inactive after puberty continues to produce antibodies, triggering an autoimmune response in MG what does a thymectomy do for this

reduces or eliminates the production of the autoantibodies to resolve the signs and symptoms of MG

the client diagnosed with Guillain-Barre syndrome is admitted to rehab after 23 days which intervention should the nurse implement

refer to physical therapist, Quest social worker, Implement paint control, refer to guillian barres syndrome Foundation

which referral should the nurse Implement for a client with severe multiple allergies

registered dietitian

client on a medical floor is diagnosed with HIV encephalopathy which client problem is priority

risk for injury safety is always an issue with a client with diminished mental capacity

what are expected clinical manifestations of multiple sclerosis

scanning speech, diplopia, dysarthria, Scotomas, muscle weakness, spasticity

which collaborative Healthcare team members should the nurse refer the client to in late stages of myasthenia gravis

speech therapist

which type of isolation technique is designed to decrease the risk of transmission of recognize an unrecognized sources of infection

standard precautions

a client diagnosed with an acute exasperation of systemic lupus erythematosus is being discharged with a prescription for an oral steroid which will be discontinued gradually which statement is a scientific rationale for this medicine dosage

tapering the dose allows adrenal glands to begin to produce cortisol again

which intervention has the highest priority when caring for a client diagnosed with rheumatoid arthritis

teach the client a proper use of hot and cold therapy to relieve pain

client diagnosed with multiple sclerosis is having trouble maintaining balance which intervention should the nurse discuss

teach the client to stand with feet slightly apart

which area of the body should the nurse assess to identify symptoms to support the early diagnosis of guillian bars syndrome

the ascending paralysis starting in the lower extremity

a nurse caring for clients on a medical floor which client should the nurse assess

the client diagnosed with Advanced rheumatoid arthritis who is receiving an anti neoplastic drugs IV, these can be caustic to tissues

which clinical manifestations of multiple sclerosis warrants immediate intervention

the client has a congested cough and dysphasia

the client with myasthenia gravis is prescribed the cholinesterase inhibitor neostigmine, prostigmin. which data indicates the medication is effective

the client is able to feed self independently, this medication promotes muscle contraction which improves muscle strength

the nurse is assessing the client prior to surgery when chicken formation warrants immediate intervention by the nurse

the client is allergic to iodine and does not have an allergy bracelet

nurse is caring for a client diagnosed with multiple sclerosis which client issue is most important

the client tells the nurse life is not worth living anymore

the nurse on a medical florist caring for clients diagnosed with AIDS which client should be seen first

the client who has flushed warm skin with tented turgor

the nurse on a med unit has received the morning shift report which client should the nurse assess first

the client who received an initial dose of IV antibiotic at all 6:45 the antibiotic should be assessed for tolerance within 30 minutes

the nurse is developing a care plan for a client diagnosed with systemic lupus erythematosus which goal is priority for this client

the client will have no deterioration of organ function

the primary nurse is administering medication to the assign clients which client situation requires immediate intervention by the charge nurse

the client with myasthenia gravis received anticholinesterase medication 30 minutes late it must be administered on time to increase strength during activities such as eating or grooming

client diagnosed with multiple sclerosis is scheduled for an MRI which information should the nurse teach the client

the machine will be allowed in the client must have moved the head during the test

client with rheumatoid arthritis has non-tender movable nodules in the subcutaneous tissue over the elbows and shoulders. Which statement is a scientific rationale for the nodules

the nodules indicate a rapidly Progressive destruction of the affected tissue

a nurse is caring for a client suspected fibromyalgia which diagnostic test confirms the diagnosis

there is no diagnostic test to confirm fibromyalgia

the client diagnosed with systemic lupus erythematosus ass what it is and how did he get it. which is the best

this is an autoimmune disease that may have a genetic or hormonal component

the client with multiple sclerosis is prescribed the muscle relaxant baclofen which statements indicates an understanding of the teaching

this medication must be tapered off over 1 to 2 weeks . this medication will cause drowsiness I should not drink any alcohol with antihistamines I will increase fiber and fluid in my diet

the client diagnosed with systemic lupus erythematosus is being discharged from the med unit which instructions are most important to include

use sunscreen, notify hcp of a low-grade fever, hands and feet may change color if exposed to cold or heat

the nurse caring for a client who is hiv-positive is stuck with the stylet used to start an IV which intervention should the nurse Implement first

watch the skin with water and tried to get the area to bleed

the client is complaining of allergic rhinitis which assessment question is important for the nurse to ask

which OTC medications have you tried


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