Immunity Quiz

The nurse is reviewing the diagnostic test findings of a client with rheumatoid arthritis. What would the nurse expect to find?

Elevated erythrocyte sedimentation rate

A client is experiencing symptoms of rheumatoid arthritis. Which laboratory tests will the nurse expect to be prescribed for this client? Select all that apply.

Erythrocyte count Antinuclear antibody Rheumatoid factor

The medical chart of a newly admitted client notes a penicillin allergy, yet the physician has just written an order for an antibiotic in the same drug family after reviewing the client's wound culture and sensitivity. How should the nurse respond to this situation?

Withhold the medication until the potential drug allergy has been addressed by the care team.

The hallmark of a rheumatologic disease is:

autoimmunity

The nurse is creating a plan to assist an older adult to manage rheumatoid arthritis. Which areas will the nurse include in this plan? Select all that apply.

exercise medication ADL modification Psychological support

What is the best explanation from the nurse as to why a client must return to the unit in 48 hours after having a tuberculin skin test intradermal?

to determine the extent to which the client responded to the drugs

A client has presented with signs and symptoms that are consistent with contact dermatitis. Which aspect of care should the nurse prioritize when working with this client?

If possible, identify what agent is causing the reaction so that you can stop that agent.

What is the name of the chronic disease that effects nearly every organ in the body?

Lupus

A client is recovering from an anaphylactic reaction to an allergen which brought her to the ED. The client's spouse is quite concerned with the potential reoccurrence of her allergic reaction. In attempting to narrow down the possible allergen, it is important to consider that clinical manifestations generally correlate with:

exposure route

A client with allergies has been advised to have an allergy test. The nurse needs to administer an injection to the client for allergy testing. Which injection route is most suitable for allergy testing?

intradermal

The nurse is creating a care plan for a client suffering from allergic rhinitis. What outcome should the nurse identify

lifestyle modifications

The nurse is caring for a client who has acquired immunodeficiency disease (AIDS) and has developed oral thrush. What type of infection is the nurse aware that has developed due to the immunocompromised state of the client?

opportunistic

A nurse is planning the assessment of a client who is exhibiting signs and symptoms of an autoimmune disorder. The nurse should be aware that the incidence and prevalence of autoimmune diseases is known to be higher among which group?

women

A nurse's plan of care for a client with rheumatoid arthritis includes several exercise-based interventions. What goal should the nurse prioritize?

Preserve or increase range of motion while limiting joint stress.

Your client with Lupus is complaining of cold fingers that go numb. You recognize this as what phenomenon?

Raynauds

HIV is a _______ , and AIDS is a _______

Virus, Disease

What statement best helps to explain autoimmunity in rheumatic disease?

Your body is attacking itself, resulting in symptoms.

You overhear a nurse complaining about their client who constantly comes into the office complaining about pain all over. The nurse states this client is faking their symptoms. What is the nurse's best response?

"Has the client been tested for an autoimmune disease?

A client with a history of anaphylactic reactions to insect stings has just been stung by a wasp. Place the steps in the correct order that the client will follow for self-administration of an EpiPen. Use all options.

1. remove gray safety-release cap 2. Inject the black tip into the outer thigh 3. massage the injection area 4. call emergency medical response number (911)

A nurse has a client with Rheumatoid arthritis who is experiencing joint pain. Which medication would be the first line of defense?

anti-inflammatories

What intervention is a priority when treating a client with HIV/AIDS?

fluid and electrolyte balance

The nurse is caring for a client who has been admitted for the treatment of AIDS. In the morning, the client tells the nurse that he experienced night sweats and recently "coughed up some blood." What is the nurse's most appropriate action?

place the client in airborne isolation