Medical/Surgical 5 Exam 2021/2022 110Q (Answered) Graded A

Medical/Surgical 5 Exam 2021/2022 110Q (Answered) Graded A A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? {{ANS}}Facial Rash. A nurse is preparing an in-service about HIV for a group of newly hired assistive personnel. Which of the following statements should the nurse include about HIV transmission? {{ANS}}HIV is transmitted through contact with infected body fluids A nurse is assisting in the plan of care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care? {{ANS}}Limit the number of health care workers entering the room A nurse is reinforcing teaching with a client who has a new diagnosis of systemic lupus erythematosus (SLE). Which of the following information should the nurse include in the teaching? {{ANS}}SLE affects the connective tissue of the body A nurse is caring for a client who received an injection of penicillin G procaine and begins to experience an anaphylactic reaction. Which of the following actions should the nurse take first? {{ANS}}Administer epinephrine subcutaneously A nurse is caring for school-age child who has seasonal allergies and has been taking diphenhydramine. The provider recommends fexofenadine for the child. The child's parent asks the nurse about the advantage of taking fexofenadine. Which of the following responses should the nurse make? {{ANS}}"Fexofenadine is less sedation." A nurse is collecting data from a client who has AIDS. When checking the clients mouth, the nurse notes a white, creamy covering on the tongue and buccal membranes. The nurse should recognize this is a manifestation of which of the following conditions? {{ANS}}Candidiasis A nurse is assisting with the care of a client who is receiving packed red blood cells. During the infusion, the client states, "My heart is racing." The nurse notes that the client's face become flushed. Which of the following actions should the nurse take first? {{ANS}}Stop the transfusion A nurse is caring for a client who was diagnosed with HIV 6 months ago. The client came to the clinic for testing to determine disease progression. Which of the following laboratory tests should the nurse expect the provider to prescribe? {{ANS}}Quantitative RNA assay A nurse is caring for a client who comes to the clinic to be tested for tuberculosis (TB) after a close family contact tests positive. Which of the following measures should the nurse anticipate preparing for this client? {{ANS}}Tuberculin skin test A nurse is talking with a client who has to come to the clinic for HIV testing. The nurse should explain to the client that, after the laboratory has the enzyme immunoassay (EIA) results, it will use which of the following tests to confirm the diagnosis? {{ANS}}Western blot assay A nurse is administering an IM injection using a passive needle-safety device. After injection, which of the following actions should the nurse take? {{ANS}}Make sure the needle retracts into the barrel of the syringe A nurse is reinforcing discharge with a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include in the teaching? {{ANS}}Wash your hair with a mild shampoo A nurse is assisting with planning an immunization clinic for older adult clients. Which of the following information should the nurse plan to include about influenza? {{ANS}}The composition of the influenza vaccine changes yearly A nurse is assisting in preparing a presentation at a community center about systemic lupus erythematosus (SLE). The nurse should identify which of the following groups as having the highest risk for developing this disorder? {{ANS}}African American women A nurse is reinforcing home instructions for a client who has an immunodeficiency. Which of the following client statements indicates a need for further teaching? {{ANS}}I will take my temperature once a week A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? {{ANS}}Take temperature once a day A nurse is a clinic is reviewing the prescriptions for a client who had a delayed hypersensitivity reaction to an unknown trigger. The nurse should expect the provider to prescribe which of the following tests? {{ANS}}Patch test A nurse is assessing a client who has a history of HIV with phagocytic dysfunction. The nurse should monitor this client for which of the following conditions? {{ANS}}Bacterial infection A nurse is reinforcing teaching with a client who is pregnant and has a prescription for Rho(D) immune globulin. Which of the following information should the nurse include? {{ANS}}This medication prevents the formation of RH antibodies by a woman who is Rh-negative A nurse is reviewing the medical record of a client who just returned to the unit following surgery and notes the client has a history of anaphylaxis in response to penicillin. The client's postoperative prescriptions include a dose of cephalexin. Which of the following actions should the nurse take? {{ANS}}Request that the surgeon prescribe a different antibiotic A nurse is reinforcing teaching about cyclosporine for a client who is postoperative following a renal transplant. Which of the following statements by the client indicates an understanding of the teaching? {{ANS}}I will need to take this medication for the rest of my life A nurse in a provider's office is collecting data from a client who reports a red rash on her face, fever, weight loss and joint pain. The nurse should plan to prepare the client for which of the following laboratory tests? {{ANS}}Antinuclear antibody (ANA) titer A nurse has accidentally punctured his finger with a needle he used to give an IM injection to a client. Which of the following actions should the nurse take? {{ANS}}Wash the puncture site with soap and water A nurse is reinforcing teaching with a group of newly licensed nurses about preventing needlestick injuries. Which of the following actions should the nurse recommend? {{ANS}}Place uncapped needles in a puncture-proof container after use A baby is born temporarily immune to the diseases to which the mother is immune. The nurse would explain this to the mother as being which of the following types of immunity? {{ANS}}Naturally acquired passive immunity Immunity to a disease after recovery is possible because the first exposure to the pathogen has stimulated the formation of which of the following? {{ANS}}Memory cells