RN learning system medical surgical:
immune and infectious practice Final
EXAM 100+ QUESTIONS & ANSWERS /
ADVANCED PHARMACOLOGY FOR CARE OF
FAMILY|AGRADE
providing discharge teaching to the partner of a client who has acquired
immune deficiency syndrome. Which of the following statements by the client's
partner indicates the need for further teaching? - ANSWER//-"I'll clean up blood
spills immediately with hot water."
**The client's partner should clean blood or potentially contaminated body
substances with a bleach solution and wear gloves when coming into contact
with blood products.
A nurse is providing discharge instructions to a client who is being treated for
genital warts. Which of the following statements indicates that the client
understands how to prevent transmission of the sexually transmitted infection
(STI)? - ANSWER//-"I will bring my sexual partner in for treatment."
**The client should bring his partner in to be screened for genital warts and
treated.
A nurse is preparing to administer a Mantoux skin test to a client. The nurse
should inform the client that the purpose of a Mantoux skin test using purified
protein derivative (PPD) is to do which of the following actions? - ANSWER//-
Identify if a client has been infected with mycobacterium tuberculosis.
, **The nurse should inform the client that the Mantoux test is used to identify
individuals who have been infected with mycobacterium tuberculosis.
A nurse is reviewing the laboratory results for a client who reports bilateral pain
and swelling in her finger joints, with stiffness in the morning. The nurse should
recognize that an increase in which of the following laboratory tests can indicate
arthritis? - ANSWER//-Rheumatoid factor
**An increase in the client's rheumatoid factor can indicate rheumatoid arthritis or
other connective tissue diseases.
A nurse is teaching a client who has AIDS about the transmission of
Pneumocystis jiroveci pneumonia (PCP). Which of the following information
should the nurse include in the teaching? - ANSWER//-"PCP results from an
impaired immune system."
**The nurse should explain that the organism that causes PCP exists as part of
the normal flora of the lungs and develops into a fungus. It becomes an
aggressive pathogen when the immune system is compromised and the infection
results from an impaired immune system.
A nurse is caring for client who has human immunodeficiency virus. Which of the
following types of isolation should the nurse implement to prevent transmission
of HIV? - ANSWER//-Standard precautions
**Standard precautions should be implemented with every client, to prevent the
spread of infection transmitted by direct or indirect contact with infectious blood
or body fluids. Because HIV is spread through blood and bodily fluids, standard
precautions are appropriate.
A nurse is assessing a client who has systemic scleroderma. Which of the
following findings should the nurse expect? - ANSWER//-Finger contractures
**Scleroderma is a chronic disease that can cause thickening, hardening, or
tightening of the skin, blood vessels, and internal organs. There are two types of
scleroderma: localized scleroderma, which mainly affects the skin, and systemic
scleroderma, which can affect internal organs. The manifestations include skin
changes, Raynaud's phenomenon, arthritis, muscle weakness, and dry mucous
membranes. With scleroderma, the body produces and deposits too much
collagen, causing thickening and hardening. In addition to the client's skin and
subcutaneous tissues becoming increasingly hard and rigid, the extremities
stiffen and lose mobility. Contractures develop with advanced systemic
scleroderma unless clients follow a regimen of range-of-motion and muscle-
strengthening exercises.
A nurse is teaching a client who was recently diagnosed with Raynaud's disease
about preventing the onset of manifestations. Which of the following statements
by the client indicates an understanding of the teaching? - ANSWER//-"I should
not smoke."
immune and infectious practice Final
EXAM 100+ QUESTIONS & ANSWERS /
ADVANCED PHARMACOLOGY FOR CARE OF
FAMILY|AGRADE
providing discharge teaching to the partner of a client who has acquired
immune deficiency syndrome. Which of the following statements by the client's
partner indicates the need for further teaching? - ANSWER//-"I'll clean up blood
spills immediately with hot water."
**The client's partner should clean blood or potentially contaminated body
substances with a bleach solution and wear gloves when coming into contact
with blood products.
A nurse is providing discharge instructions to a client who is being treated for
genital warts. Which of the following statements indicates that the client
understands how to prevent transmission of the sexually transmitted infection
(STI)? - ANSWER//-"I will bring my sexual partner in for treatment."
**The client should bring his partner in to be screened for genital warts and
treated.
A nurse is preparing to administer a Mantoux skin test to a client. The nurse
should inform the client that the purpose of a Mantoux skin test using purified
protein derivative (PPD) is to do which of the following actions? - ANSWER//-
Identify if a client has been infected with mycobacterium tuberculosis.
, **The nurse should inform the client that the Mantoux test is used to identify
individuals who have been infected with mycobacterium tuberculosis.
A nurse is reviewing the laboratory results for a client who reports bilateral pain
and swelling in her finger joints, with stiffness in the morning. The nurse should
recognize that an increase in which of the following laboratory tests can indicate
arthritis? - ANSWER//-Rheumatoid factor
**An increase in the client's rheumatoid factor can indicate rheumatoid arthritis or
other connective tissue diseases.
A nurse is teaching a client who has AIDS about the transmission of
Pneumocystis jiroveci pneumonia (PCP). Which of the following information
should the nurse include in the teaching? - ANSWER//-"PCP results from an
impaired immune system."
**The nurse should explain that the organism that causes PCP exists as part of
the normal flora of the lungs and develops into a fungus. It becomes an
aggressive pathogen when the immune system is compromised and the infection
results from an impaired immune system.
A nurse is caring for client who has human immunodeficiency virus. Which of the
following types of isolation should the nurse implement to prevent transmission
of HIV? - ANSWER//-Standard precautions
**Standard precautions should be implemented with every client, to prevent the
spread of infection transmitted by direct or indirect contact with infectious blood
or body fluids. Because HIV is spread through blood and bodily fluids, standard
precautions are appropriate.
A nurse is assessing a client who has systemic scleroderma. Which of the
following findings should the nurse expect? - ANSWER//-Finger contractures
**Scleroderma is a chronic disease that can cause thickening, hardening, or
tightening of the skin, blood vessels, and internal organs. There are two types of
scleroderma: localized scleroderma, which mainly affects the skin, and systemic
scleroderma, which can affect internal organs. The manifestations include skin
changes, Raynaud's phenomenon, arthritis, muscle weakness, and dry mucous
membranes. With scleroderma, the body produces and deposits too much
collagen, causing thickening and hardening. In addition to the client's skin and
subcutaneous tissues becoming increasingly hard and rigid, the extremities
stiffen and lose mobility. Contractures develop with advanced systemic
scleroderma unless clients follow a regimen of range-of-motion and muscle-
strengthening exercises.
A nurse is teaching a client who was recently diagnosed with Raynaud's disease
about preventing the onset of manifestations. Which of the following statements
by the client indicates an understanding of the teaching? - ANSWER//-"I should
not smoke."
