Update 2026/2027 | 100% Correct | Graded.
Which data would the nurse document for a client who returns to the
clinic with induration of the skin 48 hours after receiving a purified
protein derivative (PPD) test?
Select all that apply. One, some, or all responses may be correct.
The client has been exposed to tuberculosis.
Which strategies would the nurse use to reduce pain during or after
vaccination in a child? Select all that apply. One, some, or all
responses may be correct. Applying topical anesthetic
Providing tactile stimulation
Holding the child upright during vaccination
A client has a history of a persistent cough, hemoptysis, unexplained
weight loss, fatigue, night sweats, and fever. Which risk would be
assessed?
HIV
The nurse is providing counseling to a client with the diagnosis of
systemic lupus erythematosus (SLE). Which recommendations are
essential for the nurse to include?
,Select all that apply. One, some, or all responses may be correct.
"Wear a large-brimmed hat."
"Take your temperature daily."
"Balance periods of rest and activity."
The nurse is interviewing a client who was diagnosed with systemic
lupus erythematosus (SLE). Which clinical findings to this disease
would the nurse expect the client to exhibit? Select all that apply. One,
some, or all responses may be correct.
-butterfly facial rash
-inflammation of the joints
Which clinical manifestations may indicate a client has systemic lupus
erythematosus (SLE)? Select all that apply. One, some, or all
responses may be correct.
-pericarditis
-discoid lesions
-pleural effusions
Identify the type of hypersensitivity reaction associated with systemic
lupus erythematosus (SLE).
type III
A client is experiencing an exacerbation of systemic lupus
erythematosus. To reduce the frequency of exacerbations, what would be
important for the nurse to include in the client's teaching plan?
techniques to reduce stress
,An adolescent has been admitted with a history of symptoms of fatigue,
intermittent fever, weight loss, and arthralgia, and the diagnosis is
systemic lupus erythematosus.
Which is the best intervention at this time?
education about diet, rest, and exercise
Which action would the nurse take when a client receiving an infusion of
penicillin reports having an anaphylactic reaction to penicillin in the
past? Select all that apply.
One, some, or all responses may be correct.
-notifying rapid response
-measuring O2 level
-administering epinephrine
-inserting an indwelling catheter
-assessing the respiratory pattern
Which intervention would the nurse recommend to decrease tuberculosis
(TB) in the community? Select all that apply. One, some, or all
responses may be correct. Improving financial resources
Eliminating overcrowded housing
Initiating needle-sharing programs
Improving access for food pantries
Providing barrier contraceptive devices
, The nurse understands which vaccine is administered through the
intranasal route? influenza live vaccine
Which potential clinical manifestations would the nurse associate with a
client diagnosed with systemic lupus erythematosus (SLE)? Select all
that apply. One, some, or all responses may be correct.
-joint pain
-facial rash
-pericarditis
Which type of hypersensitivity reaction would the nurse teach a client
with rheumatoid arthritis (RA)?
immune complex
Which assessment findings would the nurse identify in a client with
clinical manifestations of rheumatoid arthritis (RA)? Select all that
apply. One, some, or all responses may be correct. Development of
antinuclear antibodies
Inflammatory disease pattern
Bilateral involvement of metacarpophalangeal joints
Which instruction would the nurse share with the client receiving
etanercept therapy for rheumatoid arthritis? report site reaction