NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
1) A nurse is caring for a patient who has an immunodeficiency. What assessment
finding should prompt the nurse to consider the possibility that the patient is
developing an infection?
a. Persistent diarrhea
2) The nurse is applying standard precautions in the care of a patient who has an
immunodeficiency. What are key elements of standard precautions? Select all that
apply.
a. Using appropriate personal protective equipment
b. Using safe injection practices
c. Performing hand hygiene
3) A home health nurse is reinforcing health education with a patient who is
immunosuppressed and his family. What statement best suggests that the patient
has understood the nurse's teaching?
a. “My family needs to understand that I'll probably need lifelong
treatment.”
4) The nurse is preparing to administer IVIG to a patient who has an
NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
,NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
immunodeficiency. What nursing guideline should the nurse apply?
a. Administer pretreatment medications as ordered 30 minutes prior to
infusion.
5) A nurse has created a plan of care for an immunodeficient patient, specifying that
care providers take the patient's pulse and respiratory rate for a full minute. What
is the rationale for this aspect of care?
a. These patients' blunted inflammatory responses can cause subtle
changes in status.
6) A patient's rheumatoid arthritis (RA) has failed to respond appreciably to first-
line treatments and the primary care provider has added prednisone to the
patient's drug regimen. What principle will guide this aspect of the patient's
treatment?
a. The drug should be used for as short a time as possible.
7) A nurse is admitting a patient with an immunodeficiency to the medical unit. In
planning the care of this patient, the nurse should assess for what common sign of
immunodeficiency?
a. Chronic diarrhea
NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
,NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
8) A patient with SLE has come to the clinic for a routine check-up. When
auscultating the patient's apical heart rate, the nurse notes the presence of a
distinct “scratching” sound. What is the nurse's most appropriate action?
a. Inform the primary care provider that a friction rub may be present.
9) A nurse is providing health education regarding self-care to a patient with an
immunodeficiency. What teaching point should the nurse emphasize?
a. The need for thorough oral hygiene
10) A patient's primary immunodeficiency disease is characterized by the inability of
white blood cells to initiate an inflammatory response to infectious organisms.
What is this patient's most likely diagnosis?
a. Hyperimmunoglobulinemia E syndrome
11) A nurse is working with a patient who was diagnosed with HIV several months
earlier. The nurse should recognize that a patient with HIV is considered to have
AIDS at the point when the CD4+ T-lymphocyte cell count drops below what
threshold?
a. 200 cells/mm3 of blood
NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
, NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
12) A patient has been diagnosed with AIDS complicated by chronic diarrhea.What
nursing intervention would be appropriate for this patient?
a. Obtain a stool culture to identify possible pathogens.
13) An 18-year-old pregnant female has tested positive for HIV and asks the nurse if
her baby is going to be born with HIV. What is the nurse's best response?
a. “It's possible that your baby could contract HIV, either before,
during, or after delivery.”
14) Since the emergence of HIV/AIDS, there have been significant changes in
epidemiologic trends. Members of what group currently have the greatest risk of
contracting HIV?
NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
LATEST UPDATE 2024
1) A nurse is caring for a patient who has an immunodeficiency. What assessment
finding should prompt the nurse to consider the possibility that the patient is
developing an infection?
a. Persistent diarrhea
2) The nurse is applying standard precautions in the care of a patient who has an
immunodeficiency. What are key elements of standard precautions? Select all that
apply.
a. Using appropriate personal protective equipment
b. Using safe injection practices
c. Performing hand hygiene
3) A home health nurse is reinforcing health education with a patient who is
immunosuppressed and his family. What statement best suggests that the patient
has understood the nurse's teaching?
a. “My family needs to understand that I'll probably need lifelong
treatment.”
4) The nurse is preparing to administer IVIG to a patient who has an
NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
,NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
immunodeficiency. What nursing guideline should the nurse apply?
a. Administer pretreatment medications as ordered 30 minutes prior to
infusion.
5) A nurse has created a plan of care for an immunodeficient patient, specifying that
care providers take the patient's pulse and respiratory rate for a full minute. What
is the rationale for this aspect of care?
a. These patients' blunted inflammatory responses can cause subtle
changes in status.
6) A patient's rheumatoid arthritis (RA) has failed to respond appreciably to first-
line treatments and the primary care provider has added prednisone to the
patient's drug regimen. What principle will guide this aspect of the patient's
treatment?
a. The drug should be used for as short a time as possible.
7) A nurse is admitting a patient with an immunodeficiency to the medical unit. In
planning the care of this patient, the nurse should assess for what common sign of
immunodeficiency?
a. Chronic diarrhea
NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
,NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
8) A patient with SLE has come to the clinic for a routine check-up. When
auscultating the patient's apical heart rate, the nurse notes the presence of a
distinct “scratching” sound. What is the nurse's most appropriate action?
a. Inform the primary care provider that a friction rub may be present.
9) A nurse is providing health education regarding self-care to a patient with an
immunodeficiency. What teaching point should the nurse emphasize?
a. The need for thorough oral hygiene
10) A patient's primary immunodeficiency disease is characterized by the inability of
white blood cells to initiate an inflammatory response to infectious organisms.
What is this patient's most likely diagnosis?
a. Hyperimmunoglobulinemia E syndrome
11) A nurse is working with a patient who was diagnosed with HIV several months
earlier. The nurse should recognize that a patient with HIV is considered to have
AIDS at the point when the CD4+ T-lymphocyte cell count drops below what
threshold?
a. 200 cells/mm3 of blood
NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
, NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
12) A patient has been diagnosed with AIDS complicated by chronic diarrhea.What
nursing intervention would be appropriate for this patient?
a. Obtain a stool culture to identify possible pathogens.
13) An 18-year-old pregnant female has tested positive for HIV and asks the nurse if
her baby is going to be born with HIV. What is the nurse's best response?
a. “It's possible that your baby could contract HIV, either before,
during, or after delivery.”
14) Since the emergence of HIV/AIDS, there have been significant changes in
epidemiologic trends. Members of what group currently have the greatest risk of
contracting HIV?
NUR 4500 ALL MED SURGE EXAMS Q & A100% VERIFIED SOLUTION
LATEST UPDATE 2024
