Nurs 129- Exam 2- Practice Questions

A nurse is collecting data from a client who has anemia. Which of the following findings should the nurse expect?

spoon shaped nails

A nurse in a clinic receives a phone call for a client seeking information about a new prescription for erythropoietin. Which of the following information should the nurse review with the client?

the client should have their hemoglobin checked weekly until stable

A nurse is reinforcing teaching for a client who has stage 3 HIV disease. Which of the following statements indicate an understanding of the teaching?

"I need to wash all fruits and vegetables well before eating."

A nurse is reinforcing teaching to a client with stage 2 HIV disease and is having difficulty maintaining a normal weight. Which of the following statements made by the client indicates an understanding of the teaching?

"I should increase my intake of protein at every meal."

A ruse is reinforcing self care instructions with a client who has SLE. Which of the following statements by the client indicates an understand of the instructions?

"I should use a mild soap for my personal hygiene."

A nurse is reinforcing teaching for a client who is schedules for a bone marrow biopsy of the iliac crest. Which of the following statements made by the client indicates an understanding of the teaching?

"I will need to stay in bed for about an hour after the test."

Which intervention would be implemented in the care of a client at high risk for an allergic response to a latex allergy? (select all that apply)

use nonlatex gloves, use medications from glass ampoules, do not puncture rubber stoppers with needles, keep a latex free supply cart available in the clients area

The client diagnosed with AIDS is taking nevirapine. The nurse would monitor for which side/adverse effects of the medication? Select all that apply

rash and hepatotoxicity

A nurse is caring for a client who is suspected of having HIV. The nurse should identify that which of the following diagnostic and laboratory values are used to confirm HIV infection? select all that apply

HIV antibody test, immunofluorescence assay

A nurse in a clinic is caring for a client who has suspected anemia. which of the following laboratory test results should the nurse review?

Hgb 10g/dL

A nurse is caring for a client who is receiving warfarin for anticoagulation therapy. Which of the following laboratory test results indicates to the nurse that the client needs an increase in the dosage?

INR 1.1

The client is suspected of having systemic lupus erythematous (SLE). The nurse monitors the client, knowing that which is one of the initial characteristic signs of SLE?

rash on the face across the nose and on the cheeks

A nurse is caring for a client who has DIC. Which of the following laboratory values is most useful to evaluate the intrinsic clotting cascade?

PTT

The nurse is reviewing the results of serum laboratory studies drawn on a client diagnosed with AIDS who is receiving didanosine. The nurse determines that the client may have the medication discontinued by the PHCP if which significantly elevated result is noted?

serum amylase

The nurse is assigned to care for the client diagnosed with cytomegalovirus retinitis and AIDS who is receiving foscarnet. The nurse would monitor the results of which laboratory study while the client is taking this medication?

serum creatine level

A nurse caring for a client who has bone marrow suppression. The nurse should identify which of the following laboratory values as consistent with this diagnosis? select all that apply

WBC 2,100 mm3, platelet count 75,000 mm3

The client calls the office of the primary health care provider and states to the nurse that he was just stung by a bumblebee while gardening. The client is afraid of a sever reaction because their neighbor experienced such a reaction just one week ago. Which would be an appropriate nursing action

ask the client if they have ever sustained a bee sting in the past

Saquinavir is prescribed for the client who is diagnosed with HIV seropsitive. The nurse would reinforce medication instructions about which health care measure to the client?

avoid sun exposure

A nurse is collecting data from a client who has a new diagnosis of SLE. Which of the following finding should the nurse expect?

client report of fatigue

The client diagnosed with AIDS has begun therapy with zidovudine. The nurse would monitor which laboratory result during treatment with this medication?

complete blood count

A nurse is reinforcing teaching with a client who has a new prescription of ferrous sulfate. Which of the following information should the nurse include?

foods high in vitamin C will promote absorption

The client who is diagnosed with HIV seropositive has been taking stavudine. The nurse would monitor which parameter closely while the client is taking this medication?

gait

The nurse is assigned to care for a client diagnosed with systemic lupus erythematous (SLE). The nurse would plan care considering which factor regarding this diagnosis

it is an inflammatory disease of collagen contained in connective tissue

A nurse is caring for a client who has a WBC count of 20,000/mm3. The nurse should conclude that the client has which of the following?

leukocytosis

The client Brough to the emergency department is experiencing an anaphylactic reaction from eating shellfish. The nurse need to implement which immediate action?

maintaining a patent airway

A nurse in the outpatient clinic is collecting data from a client who reports night sweats, fatigue, cough, nausea, diarrhea, and has a temperature of 100.6. The client is concerned about the possibility of having HIV. Which actions should the nurse take? select all that apply

perform physical data collection, ask the client when the symptoms began, collaborate with the RN to determine if blood should be drawn for HIV testing, obtain a sexual history

A nurse is collecting data from a client suspected of having HIV. The nurse should identify which of the following are risk factors associated with this virus? select all that apply

peritoneal exposure, older adult female, occupational exposure

A nurse is assisting with the admission of a client who has SLE. The client reports fatigue, joint tenderness, swelling, and difficulty urinating. Which of the following laboratory finding should the nurse anticipate? select all that apply

positive ANA titer, 2+ urine protein, elevated BUN

The nurse is assisting with planning the care of a client with a diagnosis of immunodeficiency. The nurse would incorporate which intervention as a priority in the plan of care?

protecting the client from infection

A nurse is contributing to the plan of care for a client who has a Hgb 7.5 g/dL and Hot 21.5%. Which of the following actions should the nurse include in the plan of care? select all that apply

provide assistance with ambulation, monitor oxygen saturation, obtain stool specimen for occult blood, schedule daily rest periods

The client with acquired immunodeficiency syndrome (AIDS) is diagnosed with cutaneous Kaposi's sarcoma. Based on this diagnosis, the nurse would determine that this has been confirmed by which finding?

punch biopsy of the cutaneous lesions