HCC III Immunity- ATI 2023 Quiz Bank with complete solution

HCC III Immunity- ATI 2023 Quiz Bank with complete solution A nurse is assessing a client who has systemic lupus erythematosus an dis taking hydroxychloroquine. The nurse should report which of the following adverse effects to the provider immediately? Blurred vision When using the urgent vs non-urgent approach to client care, the nurse should determine that the priority finding to report to the provider is blurred vision, as this is a manifestation of hydroxychloroquine toxicity and can be an indication of retinal damage. A nurse is caring for a client who has tuberculosis and new prescriptions for rifampin and pyrazinamide. Which of the following laboratory tests should the nurse instruct the client will be required while on the medication regimen? Liver function tests Pyrazinamide and rifampin can both cause hepatotoxicity, thus the provider will monitor liver function regularly. A nurse is assessing a client for a suspected anaphylactic reaction following a CT scan with contrast media. For which of the findings should the nurse intervene first? Stridor When using the airway, breathing, circulation approach to client care, the nurse determines that the priority finding is stridor, which indicates narrowing of the airway. The nurse should position the head of the client's bed at 45° or more, if tolerable, and call for emergency assistance. A nurse in an allergy clinic is caring for a client who has a history of seasonal allergy symptoms. The client had a radioallergosorbent test (RAST) completed on a previous visit. The nurse should recognize that an elevation in which of the following immunoglobulins indicates a positive result? Immunoglobulin E (IgE) A RAST involves measuring the quantity of IgE present in the serum after exposure to specific antigens that are selected based on the client's symptom history. An elevated IgE indicates a positive response to a RAST. A nurse is caring for a client who is hospitalized with active pulmonary tuberculosis and is started on ethamnutol therapy. The nurse should understand that which of the following should be monitored? Visual acuity A significant adverse effect of ethambutol is optic neuritis, vision loss, and loss of color discrimination, especially red and green. Baseline vision testing should be performed before use, and visual acuity monitored at regular intervals. A nurse is assessing a client who has systematic lupus erythematosus (SLE). Which of the following findings should the nurse expect? Facial rash SLE causes a characteristic facial "butterfly" rash that is dry, scaly, red, and raised. A nurse is teaching a client about the intradermal purified protein derivative (PPD). Which of the following information should the nurse include? "This test is performed if previous results are negative." The nurse should assess whether the client has tested positive to a prior PPD test. For clients who have tested positive, chest x-ray is performed to determine exposure. A nurse is caring for a client who is being admitted for an acute exacerbation of ulcerative colitis. Which of the following actions should the nurse take first? Review the client's electrolyte values. The greatest risk to this client is injury from impaired function of cardiac or respiratory muscles; therefore, the first action the nurse should take is to review the client's electrolyte values. The client might have low sodium, potassium, and chloride from frequent diarrhea. A nurse is caring for an older adult client who has rheumatoid arthritis and is taking aspirin 650 mg every 4 hrs. Which of the following diagnostic tests should the nurse monitor to evaluate the effectiveness of this medication? Erythrocyte sedimentation rate (ESR) Rheumatoid arthritis is a chronic inflammatory disease. ESR is useful in detecting and monitoring tissue inflammation in clients with RA. As the disease improves the ESR decreases. A nurse suspects anaphylaxis when caring for a client following the initial administration of an oral antibiotic. Which of the following should be the nurses priority intervention? Count the respiratory rate. Checking the client's respiratory status is the priority action when following the nursing process approach to client care. A nurse is teaching a client who has tuberculosis and is to start combination drug therapy. Which of the following medications shold the nurse plan to administer? Select All That Apply Rifampin Isoniazid Acyclovir Pyrazinamide Montelukast Rifampin is correct. Isoniazid is correct. Acyclovir is incorrect. A client should take acyclovir treat a viral infection, such as herpes simplex virus and herpes zoster. Pyrazinamide is correct. Montelukast is incorrect. A client should take montelukast to manage chronic asthma, seasonal allergic rhinitis, or for prophylaxis of bronchospasms. A nurse is teaching a client who has rheumatoid arthritis about taking methotrexate. Which of the following information should the nurse include? Drink 2 to 3 L of water per day. Methotrexate can cause renal toxicity. The client should drink 2 to 3 L of water per day to promote excretion of the medication. A nurse in an emergency department is caring for a client who has anaphylaxis following a bee sting. Which of the following actions should the nurse take first? Auscultate for wheezing. When using the airway, breathing, circulation approach to client care, the nurse should place the priority on assessing the client's respiratory status. Bronchoconstriction or closure of the upper airway may occur, which places the client at risk for respiratory arrest. A nurse is teaching a client who is starting to take methotrexate to treat rheumatoid arthritis. Which of the following instructions should the nurse include in the teaching? "Drink at least 2 liters of water daily." The client should drink 2 to 3 L of water per day because methotrexate can cause kidney damage. Adequate hydration optimizes drug excretion and helps prevent renal damage. A nurse is assessing a client after administering IV vancomycin. Which of the following findings is the nurse's priority to report to the provider? Audible inspiratory stridor When using the airway, breathing, circulation approach to client care the nurse determines the priority finding is inspiratory strider. The client is at risk for bronchospasms, hypotension and circulatory collapse due to anaphylaxis. The nurse should contact the rapid response team, discontinue the vancomycin, and administer epinephrine. A nurse is providing teaching about ileostomy care to a client. Which of the following statements by the client indicates a need for further teaching? "I will be certain to take enteric-coated medications." This is not an appropriate statement and indicates a need for additional teaching. Enteric-coated medications should be avoided to reduce the risk of blockage caused by the coating. A nurse is instructing a client who is newly diagnosed with pulmonary tuberculosis about the use of antitubercular medications. Which of the following information should the nurse include in the teaching? A typical course of treatment involves 6 to 9 months of consistent medication use. Pulmonary TB is a contagious bacterial infection caused by Mycobacterium tuberculosis. Active TB is usually treated with the simultaneous administration of a combination of medications to which the organisms are susceptible. Such therapy is continued until the disease is controlled. A 6- to 9-month regimen consisting of two, and often four, different medications is used. The client should not drink alcohol during this time. A nurse is caring for a female client who has rheumatoid arthritis and a new prescription for methotrexate. The client tells the nurse she is planning a pregnancy. Which of the following instructions should the nurse give the client? The medication should be discontinued 3 months prior to a planned pregnancy. Methotrexate should be discontinued 3 months prior to planning a pregnancy because of the risk of birth defects. A nurse is teaching a client who has rheumatoid arthritis about increasing physical rest as part of her treatment plan. Which of the following outcomes of this intervention should the nurse document as a goal for this client? Reduced joint stress Rheumatoid arthritis in an autoimmune disease in which the cartilage and bone of the joints are destroyed resulting in increased pain and limited range of motion. The nurse should instruct the client that rest reduces stress on the joints and can be an effective intervention for relieving pain associated with rheumatoid arthritis. A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus and asks where this disease originates within the body. The nurse