Week 7 Flexiquiz Study Guide

The caregivers of a child who is recovering from chickpox tells the nurse the child was given aspirin for a fever. The nurse would prioritize the assessment for indications of which adverse reaction?

Reye Syndrome

Several client have come to the clinic for immunizations. When assessing their medical records, the nurse determines which situation as a contraindication for the administration of a vaccine? Select all that apply.

chronic prednisone therapy acute nonfebrile illness HIV Leukemia

A nursing instructor is teaching a class illustrating the various reactions to antivenins. The instructor determines the class is successful when the students correctly point out clients may react within which time period if they are sensitive to an antivenin?

30 minutes

When educating a group of nursing students on immunologic agents, the nurse refers to a substance that is attenuated (or weakened) but still capable of stimulating the formation of antitoxins. The nurse determines that the teaching was successful when the students correctly point out this agent as which substance?

toxoids

The nurse is collecting objective data for a client with AIDS at the clinic. The nurse observes white plaques in the client's oral cavity, on the tongue, and buccal mucosa. What does the nurse understand this finding indicates?

Candidiasis

When teaching a client who is recieving cytomegalovirus immune globulin, the nurse would alert the client to the possibility of which reaction? Select all that apply.

Chills Urticaria Angioedema Headache

A client with cytomegalovirus (CMV) infection tells the nurse at the clinic that he is starting to have difficulty seeing and his glasses don't seem to be working as they used to. The physician determines that the client is developing CMV retinitis. What medication does the nurse anticipate the client will receive for this?

Foscarnet

A nursing instructor is teaching the concept of immunity. The instructor determines that the session was successful when the students correctly choose that cell-mediated immunity protects the body against what type of infections? Select all that apply.

Fungal Bacterial Viral

A nurse is teaching the caregiver of a young client about the varicella vaccine which the primary health care provider has prescribed. The nurse should point out which facts to the child and caregivers? Select all that apply.

Instruct the parents to ensure the medical record is up-to-date. Discuss common adverse reactions. Explain the benefits of immunization. Provide the date for return for the next vaccination. Explain the risk of contracting vaccine-preventable diseases.

A client has arrived to the clinic and is requesting an upade on immunizations. The nurse will point out the client may not be able to have any vaccines due to which current prescribed medication? Select all that apply.

Methylprednisolone Prednisolone Vincristine Paclitaxel

A group of student nurses are preparing a community presentation illustrating the various vaccines. The instructor determines the student have successfully presented the information with which vaccines being listed as viral vaccines? Select all that apply.

Rabies Mumps Avian influenza

A forest ranger arrives at a community clinic for prophylactic vaccination. The nurse predicts the health care provider will prescribe which vaccine for this client?

Rabies vaccine

A nurse is teaching a client about the use of immune globulins. The nurse determines the session is successful when the client can successfully point out which facts about immune globulins? Select all that apply.

Recieve antibodies only to the diseases to which donor blood is immune. Are proteins present in serum or plasma that contain antibodies. Can be obtained from human and animal blood.

A group of student nurses are preparing for a health fair and will be administering vaccines to the public. The instructor determines the group is well prepared after noting they are preapared to document which information after each administration? Select all that apply.

Route and site Vaccine expiration date Vaccine lot number

A nurse caring for clients at a family health clinic performs preadministration assessments on all clients before administering vaccines. The nurse will prioritize evaluating for possible pregnancy status before administering which vaccines to women? Select all that apply

Rubella Measles Mumps Varicella

The nurse has four clients who come to the clinic for healthcare. Which one of these clients has the highest risk factor for HIV infection?

A 26-year-old inmate who receives tattoos in prison

The nurse is assessing a client who is to receive multiple vaccinations. which nursing diagnosis should the nurse prioritize for this client?

Acute pain

The nurse is preparing to start and IV for a client who is combative. What precautionary measure should the nurse take in order to avoid a needlestick?

Ask for assistance

The nursing instructor is teaching a class comparing the various forms of immunity. The instructor determines the session is successful when the students correctly choose which factor as indicators of humoral immunity? Select all that apply.

B lymphoctyes are involved An antigen-antibody response occurs

A client with AIDS has been tested for cytomegaloviraus (CMV) with positive titers. What severe complication should the nurse be alert for with cytomegalovirus?

Blindness

A nursing instructor is teaching a session illustrating the various forms of immunity utilized by the human body. The instructor determines the session is successful when the students correctly choose which type of immunity as developing after the use of ready-made antibodies from animals?

Passive immunity

A client who is right-handed is to receive a booster injection for a previous vaccination. The nurse prepares to administer the injection at which sites?

Right arm

A client with AIDS is admitted to the hospital with severe diarrhea and dehydration. The physician suspects an infection with Cryptosporidium. What type of speciment should be collected to confirm this diagnosis?

Stool speciment for ova and parasites

A client will be having hysterectomy and wants her daughter to donate the blood for directed donor donation. What factor would eliminate her daughter from donating the blood?

The daughter is 15 years of age.

A client comes to the clinic and tells the nurse that close family members are suspected of having pulmonary tuberculosis. Which vaccine would the nurse predict the health care provider will prescribe as a preventative measure?

BCG vaccine

The nurse is preparing to administer an antivenin to a client. Select all that apply.

Copperhead snake Rattlesnake Black widow spider

A client is preparing to travel to a foreign country and presents to the clinic to ensure their immunizations are current. A nurse should recomment vaccination against which diseases before travel to endemic areas? Select all that apply.

Tetanus Diphtheria Lyme disease

A client tells the nurse, "You know I have AIDS. I still cannot afford to tell my employer because they will probably cancel my health insurance, then what would I do?" What is the best response by the nurse?

"An employer cannot cancel your currently active health insurance on the basis of AIDS."

A nurse is prepared to administer a varicella vaccine to a female client planning to start a family. How long after the vaccination should the nurse instruct the client to wait before getting pregnant?

12 Weeks

After teaching a class to a group of nursing students about immunity, the instructor determines that the teaching was successful when the students correctly choose which situation as an example of passive immunity? Select all that apply.

Administration of botulism immune globulin to an infant. Administration of Crotalidae polyvalent immune Fab for the treatment of a rattlesnake bite.

The nursing instructor is illustrating the various immunity's the body utilizes to combat disease. The instructor determines the session is successful when the students correctly choose which examples to defferentiate artifically acquired active immunity from other types? Select all that apply.

Administration of the varcella vaccine Administration of the rubella vaccine Administration of the influenza vaccine

A child is brought to the health care center for MMR vaccination. On assessment, the nurse discovers that the child received an antivenin injection for a snake bite 2 days before. when should the nurse instruct the caregivers to return for this vaccine for this child?

After 6 to 8 weeks

A nurse is assessing a client's medical record and determines that the client has naturally acquired active immunity. Which example would most likely apply? Select all that apply.

After recovering from pertussis, the client demonstrates immunity against repeat exposures. Experiencing chickenpox results in immunity to the disease.

The nurse is preparing to administer IGIV to some clients. The nurse will question this prescription if which information is noted in the client's medical record? Select all that apply.

Age 65 years or older Diabetes mellitus Recieving vancomycin Pre-existing renal disease

A nurse determines a nursing diagnosis of Acute Pain is appropriate for a client receivng a vaccines. Which instructions would the nurse prioritize in the client's plan of care to address this problem? Select all that apply.

Apply compresses to the injection site. Provide for adequate rest periods. Administer acetaminophen every 4 hours.

A nurse is preparing to administer Influenza A and B vaccine to a client. The nurse should alert the client to which possible adverse reactions to this vaccine? Select all that apply.

Lethargy Chills Fever Muscle aches

A nurse is preparing to administer an immunologic drug that produces active immunity. Which drug might the nurse be administering? Select all that apply.

Toxoids Vaccines

A client with AIDS is brought to he clinic by his family. The family tells the nurse the client has become forgetful, with a limited attention span, decreased ability to concentrate, and delusional thinking. What condition is represented by these symtoms?

AIDS dementia complex (ADX)

A public health nurse is giving an informational presentation on HIV/AIDS at a nearby college. How would the nurse best define AIDS?

Acquired immunodeficiency sundrome is a potentially life-threatening infection that profoundly weakens the immune system.

A client has not responded to chemotherapy and radiation therapy. What option may be available for treatment for this client?

Aldesleukin.

A client informs the nurse that he is very allergic to poison ivy but loves to go camping and has several camping trips planned for the summer months. What suggestions can be made to protect against poison ivy?

Bentoquatam 5% applied 15 minutes prior to exposure and every 4 hours.

The nurse is talking with a group of teens about transission of human immunodeficiency virus (HIV). What body fluids does the nurse inform them will transmit the virus? Select all that apply.

Blood Vaginal secretions Breast milk Semen

The nurse is obtaining information from a client with Crohn's disease about his medication history. What medication would the nurse include when asking about what medications the client has taken for suppression of the inflammatory and immune response?

Corticosteroids.

A client comes to the clinic to see the physician with the complaint of "I think I ate something that I am allergic to." What symptoms would be appropriate for the nurse to ask the questions about?

Diarrhea and abdominal cramping.

A client who is being treated for complications related to acquired immunodeficiency disorder syndrome (AIDS) is receiving interferon parenterally as an adjunctive therapy. Why does the nurse understand this route is being used?

Digestive enzymes destroy its protein structure.

A client presents to the clinic with complaints that he began to itch and break out in hives after taking an aspirin this morning. What medication does the nurse anticipate administering that blocks histamine receptors?

Diphenhydramine

A client calls the clinic and asks the nurse if using oxymetazoline nasal spray would be alright to relieve the nasal congestion he is experiencing due to seasonal allergies. What instructions should the nurse provide to the client to avoid complications?

Do not overuse the medication as rebound congestion can occur.

A woman infected with HIV comes into the clinic. What symptoms may be the focus of a medical complaint in women infected with HIV?

Gynecologic problems.

The nurse is gathering data from laboratory studies for a client who has HIV. The clients T4-cell count is 200/mm3, and the client has been diagnosed with Pneumocystis pneumonia. What does this indicate to the nurse?

The client has converted from HIV infection to AIDS.

A client is cutting vegetables for dinner and accidently cuts his finger. What response is desirable to destroy foreign agents such as microorganisms to prevent infection from developing in the finger?

The release of antibodies.

Which tests tell the physician what the viral loads is in a client with HIV/AIDS? Select all that apply.

polymerase chain reaction P24 antigen test

The nurse is instructing a client with chronic fatigue syndrome about what type of dietary sources are the best to eat to supply eicosapentaenoic (EPA). What statement by the client demonstrates the instruction is understood?

"Fresh salmon is one of my favorite, and I will eat it twice a week."

A client is taking the immunosuppressant medication, azathioprine (Imuran), for the treatment of Crohn's disease. What statement made by the client demonstrates and understanding of the side effects of this medication?

"I will notify the doctor is I have a fever or any other signs of infection."

A client presents at the clinic with an allergic disorder. The client asks the nurse what an "allergic disoder" means. What would be the nurse's best response?

"It is a hyperimmune response to something in the environment that is usually harmless."

A client with rheumatoid arthritis informs the nurse that since has been in remission and not having any symptoms, he doesn't need to take his medication any longer. What is the best response by the nurse?

"It is important that you continue to take your medication to avoid an acute exacerbation."

A client comes to the clinic and states he has "broken out in hives and itching since eating strawberries this morning." The client staes he has never had problems with strawberries before. What is the best response by the nurse?

"It is possible to develop an allergic reaction to something you have had prior exposure to previously."

A client requires a blood transfusion for anemia and informs the nurse that he refuses becasue he doesn't want to contract acquired immune deficiency syndrome (AIDS). What is the best response by the nurse?

"The blood is screened very carefully; the risk is approximately 1 in 2,000,000."

A client with early-stage rheumatoid arthritis asks the nurse what he can do to help ease the symptoms of his disease. What would be the best response by the nurse?

"The doctor could prescribe anti-inflammatory drugs."

The nurse is instructing client's about the importance of taking the shingles vaccine. Which client would benefit from this vaccine?

A 65-year-old client who had chicken pox when he was 12 years old.

A client will be receiving a hepatitis B vaccination series prior to employment in a dialysis center. What type of immunity will this provide?

Artifically acquired active immunity.

The nurse has four clients who are scheduled to see the physician for "fatigue" and other general symptoms complaints. Which client does the nurse determine is at most risk for having chronic fatigue syndrome?

Caucasian female, age 47 years

The nurse is caring for a client with an autoimmune disease. What is a characteristic of autoimmune disorders?

Progressive tissue damage without any verifiable etiology.

A client that is HIV+ has been diagnosed with Pneumocystisi pneumonia cuased by P. jiroveci. what medication does the nurse expect that the client will take for the treatment of this infection?

Timethoprim-sulfamethoxazole.

A teenaged client with a diagnosis of HIV presents at the public health clinic complaining of pharyngitis, rash on the palms and soles of his feet, and diarrhea. What would the nurse suspect the client is suffering from?

Acute retroviral syndrome (ARS)

The client is about to have a skin test for an allergic disorder. What critical instruction should the nurse give this client?

Avoid antihistamines and cold preparations for 48 to 72 hours before the test.

A client is taking oral corticosteroids after having an exacerbation of asthma. What should the nurse be sure to include when instructing the client how to take the medication?

Take the medication in the morning with food.

The nurse is collecting data from a client with the autoimmune disorder, endocarditis. What does the nurse recognize as a symptom of an acute exacerbation?

Temperature of 100.9F

A female client comes to the clinic and tells the nurse, "I think I have another vaginal infection and I also have some wartlike lesions on my vagina. This is happening quite often." What should the nurse consult with physician regarding?

Testing the client for the presence of HIV.

A client on antiretroviral drug therapy is discussing with the nurse that sometimes he "forgets to take his meds for a few days." What should the nurse inform the client can occur when the medications are not taken as precribed?

The client is risking the development of drug resistance and drug failure.

While caring for a patient preparing for a kidney transplant, the nurse knows that the patient understands teaching onn immunosuppression when she makes which statement?

"The medications that i take will help prevent my body from attcking my new kidney."

A client has had a kidney transplant performed for end-stage kidney disease. What type of immune response that T-cell lymphocytes perform is related to this type of surgery?

A cell-mediated response.

A client has been hospitalized for diagnostic testing. The client has just been diagnosed with multiple sclerosis, which the physician explains is an autoimmune disorder. How would the nurse explain an autoimmune disease to the client?

A disorder where killer T cells and autoantibodies attack or destroy natural cells- those cells that are "self."

A client who had sexual contact with a partner who is HIV+ recently develops flulike symptoms such as a low-grade fever, headache, and muscle pain. What does the nurse suspect this client is experiencing?

Acute retroviral syndrome

The nurse is caring for a patient who was started on intravenous antibiotic therapy earlier in the shift. As the second dose is being infused, the patient reports feeling dizzy and having difficulty breathing and talking. The nurse notes that the patient's respirations are 26 breaths/min with a weak pulse of 112 beats/min. The nurse suspects that the patient is experiencing which condition?

Anaphylactic reaction.

A parent of a child who has been having frequent bouts of tonsillitis brings the child back to the clinic for another sore throat. The parent asks the nurse, "What are tonsils good for anyway?" What is the best response by the nurse?

"These tissues filter bacteria from tissue fluid."

A female client informs the nurse that she is considering beginning sexual relations and wants to know the best way to protect herself from a sexually transmitted infection and HIV. What is the best response by the nurse?

"Using a condom (latex) and spermicidal jelly is one of the most effective ways to decrease the risk of transmssion of an STI and HIV."

A client is informed that his white blood cell count is low and that he is at risk for the development of infections. The client asks, "Where do I make new white blood cells?" What is the best response by the nurse?

"White blood cells are produced in the bone marrow."

When an attenuated toxin is administered to a client, the B-cell lymphocyes create memory cells that recognize the antigen if it invades the body at a future time. What kind of immunity is this?

Artificially acquired active immunity.

A client has been having joint pain and swelling in the left foot and is giagnosed with rheumatoid arthritis. The symptoms began suddenly without any identifiable cause, and the client has significant joint destruction. What type of disease is this considered?

Autoimmune.

A client visits the nurse complaining of diarrhea every time he eats. The client has AIDS and wants to know what he can do to stop having diarrhea. What should the nurse advise?

Avoid fibrous foods, lactose, fat, and caffeine.

A client is to have a hip replacement in 3 months and does not want a blood transfusion from random donors. What option can the nurse discuss with the client?

Bank autologous blood.

The nurse is caring for a patient who is being discharge home after a splenectomy. What information on immune function needs to be included in this patient's discharge planning?

Basic infection control techniques

A client is taking a corticosteroid for the treatment of systemic lupus erythematosus. When the nurse is providing instructions about the medication to the client, what priority information should be included?

Be alert for signs and symptoms of infection and report them immediately to the physician.

A client has discussed therapy for his HIV-positive status. What does the nurse understand is the goal of antiretroviral therapy?

Bring the viral load to a virtually undetectable level.

A client comes to the clinic and informs the nurse that he had a mild case of the flu a couple months ago and "hasn't felt well since." The client tells the nurse that he is fatigued and it gets worse after any physical activity and a recurrent sore throat and joint pain. What does the nurse recognize these symptoms may indicate?

Chronic fatigue syndrome

A teenaged client has been brought to the clinic by his mother and is suspected of having an immune system disorder. What tests would the nurse expect to be ordered for this young client?

Complete blood count with differential.

A client is admitted to the hospital with a diagnosis of pneumonia. The client informs the nurse that he has several drug allergies. The physician has ordered an antibiotic as well as several other medications for cough and fever. What should the nurse do prior to administering the medications?

Consult drug references to make sure the medicines do not contain substances which the client is hypersensitive.

The nurse is caring for a client with chronic fatigue syndrome. What is a realistic nursing intervention when taking care of a client with this diagnosis?

Educate the client about the disease process.

The nursing students are learning about the immune system in their anatomy and physiology class. What would these students learn is a component of the immune system?

Lymphoid tissues.

What type of cytokine will attract neutrophils and monocytes to remove debris?

Lymphokines.

A client is informed that he will have to start on aintiretroviral therapy, and the client is concerned that he will not be able to afford the therapy. What can the nurse inform the client is the largest source of public funding for HIV/AIDS care?

Medicaid

An 18-month-old female patient is diagnosed with her fifth ear infection in the past 10 months. The physician notes that the child's growth rate has deccreased from the 620th percentile for height and weight to the 15th percentile over the same time period. The child has been treated for thrush consistently since the third ear infection. The nurse understands that the paitnet is at risk for which condition?

Primary immunodeficiency

What is the function of the thymus gland?

Programs T lymphocytes to become regulator or effector T cells.

The nurse is caring for a client with a suspected immune system disorder. What test would be ordered if a deficiency or excess of immunoglobulins was suspected?

Protein electrophoresis.

A client is schedule to have a prick test to determine what specific allergens are creating problems for the client. What should the nurse inform the client is involved with the testing?

The skin will be scrated, and applying a small amount of the liquid test antigen to the scratch, usually on the back.

The nurse is preparing to administer medications to a patient with rheumatoid arthritis (RA). The nurse should explain which goal of treatment to the patient?

Control inflammation.

A client with chronic renal failure has begun treatment with a colony-stimulating factor. What medication does the nurse anticipate administering to the client that will promote the production of blood cells?

Epoetin alfa (Epogen)

The clinic nurse is caring for a client with an allergic disorder who has received the first sensitizing dose of a new drug. What nursing action is most important at this point?

Monitor the client for reactions.

A client comes to the clinic and informs the nurse that he feels as though he has allergies. What laboratory test results will be a positive indicator for an allergic disorder?

Radioallergosorbent blood test (RAST) of 3.

A client with Crohn's disease, an autoimmune disorder, informs the nurse that he has not had any symptoms of the disease in 8 months. What does the nurse understand this asymptomatic period is referred to?

Remission

The anatomy and physiology instructor is explaining a cell-mediated response to the pre-nursing students. What actions would the instructor explain occur in a cell-mediated response?

T-cell lymphoctyes survey proteins in the body and attck the invading antigens.

The parents of a newborn question the nurse about the need for vaccinations: "Why does our baby need all those shots? He's so small, and they have to cause him pain." The nurse can explain that which of the following are true about vaccinations? (Select all that apply.)

Help protect individuals and communities. Are part of primarty prevention for system disorders. Are recommended by the Centers for Disease Control and Prevention (CDC).

The nurse is caring for a postoperative patient who had an open appendectomy. The nurse understands that this patient should have some erythema and edema at the incision site 12 to 24 hours post operation dependent on which condition?

His immune system is functioning properly.

The nursing instructor is discussing allergic reactions with her clinical group. What allergic reactions would the nursing instructor talk about? Select all that apply.

Immune complex Atopic Cytotoxic

A client's immune system has the ability to protect itself from external invaders. What type of immune function is present when this occurs?

Immunocompetence.

The nurse understands that which cells circulate throughout the body looking for virus-infected cells and cancer cells?

Natural killer cells.

The nurse is caring for a client with a suspected diagnosis of HIV. The nurse is preparing to draw blood for a confirmatory diagnostic test on this client. What is the most important action that the nurse should perform before testing a client for HIV?

Obtain a written consent from the client.

A laboring mother asks the nurse if the baby will have immunity to some illnesses when born. What type of immunity does the nurse understand that the newborn will have?

Passive immunity transferred by the mother.

A client with suspected exposure to HIV has been tested with the enzyme-linked immunosorbent assay (ELISA) with positive results twice. What is the next step for the nurse to explain to the client for confirmation of the diagnosis?

Perform a Western Blot test for confirmation of diagnosis.

The nurse is administering an injection to a client with AIDS and, when finished, attemtps to recap the needle and sustains a needlestick injury to the finger. What is the priority action by the nurse?

Report the incident to the supervisor.

A client injured the left eye while playing basketball when another player hit him in the eye with his elbow. The client complained that although the right eye was not affected, he is having difficulty now with the vision in that eye too. What does the nurse understand this phenomenon is known as?

Sympathetic uveitis.

A male client is having sexual relations with another male as well as using methamphetamine and has contracted HIV. What concern does the nurse have for this client?

The client may develop AIDS in a shorter period of time.

The nurse is administering a skin test for detection of exposure to tuberculosis. How would the nurse determine if the client was exposed to tuberculosis?

The injection area swells if the client has developed antibodies against the antigen.

Why would it be important for the nurse to question the client about sexual practicues, history of substance abuse, and his lifestyle during the interview process?

To determine if the client has practices that put him at risk for acquired immunodeficiency syndrome (AIDS).

A client has an allergic reaction to seafood with generalized edema and informs the nurse that he is unable to get his wedding ring off and it is too tight. The client was unable to remove it with soap and water. What action by the nurse can facilitate removal of the ring without damaging it?

Use twine to wrap the finger and, when the tissue is compressed, pull the free end of the twine and remove the ring.

The nurse is interviewing a client being admitted to the hospital and inquires about any allergies the client has. The client states he is allergic to aspirin and penicillin. What intervention should the nurse provide immediately to prevent complications related to allergies?

Apply an allergy bracelet and flag the chart.

When learning about HIV/AIDS, the student should be able to differentiate the two subtypes of virus by ____.

HIV-1 is more prevalent than HIV-2 subtypes

What type of immunoglobulin does the nurse recognize that promotes the release of vasoactive chemicals such as histamine when a client is having an allergic reaction?

IgE

The client is scheduled for a tilt-table test to assist in the diagnosis of chronic fatigue syndrome (CFS). What is the nurse's responsibility while the client is having the test?

Position the client while monitoring blood pressure and pulse.

The nurse is caring for a client on tube feedings. The physician has ordered Osmolite HN as the feeding formula for the client. The family asks why the physician has ordered Osmolite HN instead of another formula to feed their family member. What is an important reason that tube-feeding formulas, such as Impact, Immun-Aid, or Perative, be recommended to clients?

To enhance the production of T-Cell lymphocytes and NK cells.

A client is sceduled for diagnostic testing in 1 week. What should the nurse be sure to instruct the client prior to the scheduled appointment?

Do not take prescribed or over-the-counter antihistamines or cold preparations for at least 72 hours before testing.

A client with an allergic disorder is in treatment for his disorder. What might the treatment be?

Drug therapy for symptoms.

A child is brought to the clinic with a rash. The child is diagnosed with measles. The mother tells the nurse that she had the measles when she was a little girl. What immunity to measles develops after the initiatl infection?

Naturally acquired active immunity.

An adult client has had mumps when the client was a child. The client had a tilter prior to entering nursing school and shows immunity. What type of immunity does this reflect?

Naturally acquired active immunity.

A client with HIV will be started on a medication regimen of three medications. Which medication will be given that will interfere with the virus's ability to make a genetic blueprint. What drug will the nurse instruct the blient about?

Reverse transcriptase inhibitors

A client has been diagnosed with HIV and has been placed on antiretroviral therapy. What does the nurse inform the client that will be required for determining the progression of the disease as well as guiding drug therapy?

Viral load and T4-cell counts will be performed every 2 to 3 months.

A client asks the nurse about the importance of taking supplements to maximize immune function. The client is healthy and does not have any medical problems. What is the best information to give to the client?

Eating a moderate diet that is balanced and varied will maximize immune function.

A healthcare worker has been exposed to the blood of an HIV-positive client and is awaiting the results of an HIV test. In the meantime, what precautions must the healthcare worker take to prevent the spread of infection?

Follow the same sexual precautions as someone who has been diagnosed with AIDS.

A client with lupus had had antineoplastic drugs prescribed. Why would the physician prescribe antineoplastic drugs for an autoimmune disorder?

For their immunosuppressant effects.

An older adult client, who leads a sedentary lifestyle, and a younger client, who has a very stressful and active lifestyle, require a vaccine against a particular viral disorder. The nurse knows that in one of these clients, the vaccine will be less effective. In which client is the vaccine more likely to be less effective and why?

The male client because of his age.

A client is treated in the clinic for a sexually transmitted infection, and the nurse suspects that the client is at risk for HIV. The physician determines that the client should be tested for the virus. What responsibility does the nurse have?

The nurse ensures a written consent is obtained prior to testing.

A client received 2 units of packed red blood cells while in the hospital with rectal bleeding. Three days after discharge, the client experienced an allergic response and began to itch and break out with hives. What type of reaction does the nurse understand could be occuring?

Delayed hypersensitivity response.

A client who is HIV positive is taking zidovudine. Which adverse effects should the nurse closely monitor for in this client?

Peripheral neuropathy

The nurse is beginning the physcial examination of a client with a complaint of fatigue. What documentation will the nurse provide to describe this general appraisal of the client's health?

The client appears mildly ill, listless, and disheveled.

A nurse is conducting a preadministration assessment of a client prescribed the MMR and varicella vaccine. The nurse will question this order if which allergic reaction is noted in the client's past history? Select all that apply.

gelatin eggs neomycin

A client is given a dose of ketorolac, a nonsteroidal anti-inflammatory drug for complaints of abdominal pain. Ten minutes after receiving the medication, the client's eyes, lips, and face begin to swell, and the nurse hears stridor. What priority measure should the nurse prepare to do?

Administer epiniphrine.

The nurse is talking with a client who was stung by a bee and began having difficulty breathing. What serious complication from injected venom should the nurse discuss with the client?

Airway obstruction.

A nurse in the ER is assessing a client who has been bitten by a coral snake. Which drug dose the nurse predict the client will be given as treatment?

Antivenin

A client who is HIV/AIDS positive has orders for laboratory tests to be performed. What precautions should the nurse observe whenever there is a risk of exposure to the blood and body fluids of an infected client?

Transport the specimens of body fluids in leak-proof containers.