Exam 8: Immunity

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Once inside the body,human immunodeficiency virus (HIV)infects and destroys several types of cells,including helper T cells.List each of the events in this process in the order in which they occur. A)Virus recognizes and invades helper T cell B)Viral RNA is acted upon by reverse transcriptase C)Viral DNA integrates with helper T cell DNA D)Virus disrupts cell membrane of helper T cell,leading to its destruction E)Virus sheds its protein coat

(Short Answer)
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The nurse is planning care for a pediatric client who is infected with the human immunodeficiency virus (HIV).The nurse selects Risk for Infection as a priority nursing diagnosis for this client.Based on this nursing diagnosis,which actions by the nurse are appropriate? Select all that apply.

(Multiple Choice)
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Which of the following manifestations is not associated with systemic lupus erythematosus (SLE)?

(Multiple Choice)
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The nurse is caring for a client with acquired immunodeficiency syndrome (AIDS)who is on antiretroviral therapy.The client complains of nausea,fever,severe diarrhea,and anorexia.Which of the following prescribed medications does the nurse anticipate in order to relieve the anorexia and stimulate the client's appetite? Select all that apply.

(Multiple Choice)
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The nurse is preparing to assess a client when one of the client's family members begins showing symptoms of latex sensitivity.Which action by the nurse is the most appropriate?

(Multiple Choice)
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Three weeks after receiving a donor liver,a client begins to experience fever,tachycardia,right upper quadrant pain,and increased accumulation of fluid in the abdomen.The transplanted liver also becomes dangerously enlarged.In this scenario,the client is likely experiencing which of the following conditions?

(Multiple Choice)
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A nurse is caring for a client with systemic lupus erythematosus (SLE).The client begins to cry,stating,"I am afraid I will be disfigured because of all of these lesions." Which interventions should the nurse plan to teach this client to minimize the risk of skin infections associated with SLE? Select all that apply.

(Multiple Choice)
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The nurse is caring for a client who was diagnosed with rheumatoid arthritis (RA)last year.The client has just been prescribed methotrexate as part of his RA treatment regimen.The nurse is teaching the client about use of this medication.Which client statement indicates that this teaching was successful?

(Multiple Choice)
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Why are proton pump inhibitors often included as part of the pharmacologic treatment regimen for clients with rheumatoid arthritis (RA)?

(Multiple Choice)
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The nurse suspects that the client is experiencing a reaction to a specific antigen.Which laboratory result supports the conclusion made by the nurse?

(Multiple Choice)
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Which of the following complications is not associated with a diagnosis of rheumatoid arthritis (RA)?

(Multiple Choice)
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A client with rheumatoid arthritis (RA)is being seen in the outpatient clinic for a progress checkup.Which of the following statements on the part of the client suggests that she has met a goal of treatment?

(Multiple Choice)
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Why are second-generation antihistamines often preferred to first-generation histamines in the treatment of hypersensitivity reactions?

(Multiple Choice)
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The nurse is providing care to a client with a compromised immune system.Which independent nursing intervention is appropriate for the nurse to include in the client's plan of care?

(Multiple Choice)
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Which type of precaution should the nurse implement when providing direct care in the intensive care unit (ICU)to a client diagnosed with acquired immunodeficiency syndrome (AIDS)?

(Multiple Choice)
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The nurse is collecting a health history for a client being seen in an outpatient clinic who complains of joint pain and swelling that have lasted for about 2 months.The client is diagnosed with rheumatoid arthritis (RA).Which of the following statements made by this client supports the nursing diagnosis of Activity Intolerance?

(Multiple Choice)
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A client asks the nurse whether there are any conditions that can exacerbate systemic lupus erythematosus (SLE).Which response by the nurse is the most appropriate?

(Multiple Choice)
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Based on gender and age alone,which of the following clients is most likely to experience the new onset of rheumatoid arthritis (RA)?

(Multiple Choice)
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The nurse is caring for a client with a history of latex allergies.The client develops audible wheezing,pruritus,urticaria,and signs of angioedema.Which of the following is the priority intervention for this client?

(Multiple Choice)
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Transfusion reactions and Rh incompatibility are both examples of which type of hypersensitivity reaction?

(Multiple Choice)
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