1|Page
MEDICAL-SURGICAL: IMMUNE AND
INFECTIOUS ASSESSMENT WITH QUESTIONS
& VERIFIED ANSWERS
AIDS -correct-answer-Acquired immunodeficiency syndrome is a disease
characterized by infections from opportunistic organisms and malignancies, such
as Kaposi's sarcoma and non-Hodgkins lymphoma;
it results from significant impairment of the immune system by a previous
infection with the human immunodeficiency virus (HIV).
A nurse is reinforcing teaching with a client who is HIV positive about the early
manifestations of acquired immune deficiency syndrome (AIDS). Which of the
following statements should the nurse include in the teaching? -correct-answer-
You can expect a persistent fever and swollen glands
Clients who have AIDS can have persistent fever, swollen glands, diarrhea, weight
loss, and fatigue.
These manifestations indicate the onset of AIDS.
Clients who have AIDS are more likely to have a decreased WBC count as a result
of the HIV virus destroying CD4-T-cells. This decrease in the client's WBC and CD4-
T-cell count is the primary reason that clients who have AIDS are at increased risk
for infection.
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A nurse in a provider's office is reinforcing teaching with a client who has a new
diagnosis of rheumatoid arthritis and a new prescription for naproxen tablets.
Which of the following statements by the client requires further teaching? -
correct-answer-I can take this medication with Aspirin
A nurse is reinforcing teaching with an assistive personnel about standard
precautions when caring for a client who has vancomycin resistant Enterococcus
of the urine. Which of the following of personal protection equipment should the
nurse recommend the AP to use when caring for this client? -correct-answer-
Gloves
A nurse is reinforcing teaching with a client who is being treated for genital warts.
Which of the following statements indicates that the client understands how to
prevent transmission of his sexually transmitted infection (STI)? -correct-answer-I
will bring my sexual partner in for treatment
A nurse is reinforcing teaching with a client about the manifestations of an allergic
reaction. The nurse should explain that histamine release causes which of the
following reactions? -correct-answer-Increased mucus secretion
The nurse should instruct client that increased mucus secretion is a manifestation
of histamine release.
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Histamine is neurotransmitter body produces during an allergic reaction.
Symptoms with histamine release:
* Increased mucus secretion
* Bronchospasms and bronchial constriction
* Rapid, weak pulse
A nurse is collecting data from a client who had radioallergosorbent (RAST) testing
completed due to seasonal allergies. The nurse should anticipate an elevation in
which of the following laboratory values? -correct-answer-IgE (immunoglobulin E)
RAST testing involves measuring the quantity of IgE present in serum after
exposure to specific antigens selected on a basis of the client's symptom history.
An elevated IgE indicates a positive response and is common among clients who
have a history of allergic manifestations, anaphylaxis, and asthma.
An elevated IgG indicates the production of antibodies to all types of infections,
especially blood borne and tissue infections.
elevated IgA is associated with autoimmune diseases and chronic infections.
An elevated IgM is associated with a bacterial or viral infection. IgM produces
antibodies to protect the body against infections.
MEDICAL-SURGICAL: IMMUNE AND
INFECTIOUS ASSESSMENT WITH QUESTIONS
& VERIFIED ANSWERS
AIDS -correct-answer-Acquired immunodeficiency syndrome is a disease
characterized by infections from opportunistic organisms and malignancies, such
as Kaposi's sarcoma and non-Hodgkins lymphoma;
it results from significant impairment of the immune system by a previous
infection with the human immunodeficiency virus (HIV).
A nurse is reinforcing teaching with a client who is HIV positive about the early
manifestations of acquired immune deficiency syndrome (AIDS). Which of the
following statements should the nurse include in the teaching? -correct-answer-
You can expect a persistent fever and swollen glands
Clients who have AIDS can have persistent fever, swollen glands, diarrhea, weight
loss, and fatigue.
These manifestations indicate the onset of AIDS.
Clients who have AIDS are more likely to have a decreased WBC count as a result
of the HIV virus destroying CD4-T-cells. This decrease in the client's WBC and CD4-
T-cell count is the primary reason that clients who have AIDS are at increased risk
for infection.
,2|Page
A nurse in a provider's office is reinforcing teaching with a client who has a new
diagnosis of rheumatoid arthritis and a new prescription for naproxen tablets.
Which of the following statements by the client requires further teaching? -
correct-answer-I can take this medication with Aspirin
A nurse is reinforcing teaching with an assistive personnel about standard
precautions when caring for a client who has vancomycin resistant Enterococcus
of the urine. Which of the following of personal protection equipment should the
nurse recommend the AP to use when caring for this client? -correct-answer-
Gloves
A nurse is reinforcing teaching with a client who is being treated for genital warts.
Which of the following statements indicates that the client understands how to
prevent transmission of his sexually transmitted infection (STI)? -correct-answer-I
will bring my sexual partner in for treatment
A nurse is reinforcing teaching with a client about the manifestations of an allergic
reaction. The nurse should explain that histamine release causes which of the
following reactions? -correct-answer-Increased mucus secretion
The nurse should instruct client that increased mucus secretion is a manifestation
of histamine release.
, 3|Page
Histamine is neurotransmitter body produces during an allergic reaction.
Symptoms with histamine release:
* Increased mucus secretion
* Bronchospasms and bronchial constriction
* Rapid, weak pulse
A nurse is collecting data from a client who had radioallergosorbent (RAST) testing
completed due to seasonal allergies. The nurse should anticipate an elevation in
which of the following laboratory values? -correct-answer-IgE (immunoglobulin E)
RAST testing involves measuring the quantity of IgE present in serum after
exposure to specific antigens selected on a basis of the client's symptom history.
An elevated IgE indicates a positive response and is common among clients who
have a history of allergic manifestations, anaphylaxis, and asthma.
An elevated IgG indicates the production of antibodies to all types of infections,
especially blood borne and tissue infections.
elevated IgA is associated with autoimmune diseases and chronic infections.
An elevated IgM is associated with a bacterial or viral infection. IgM produces
antibodies to protect the body against infections.
