Exam 8: Immunity

A nurse is caring for a pediatric client who is receiving an infusion of intravenous antibiotic at the ambulatory clinic.Which clinical manifestation indicates that the client is experiencing a type I hypersensitivity reaction?

A nurse working in the emergency department is providing care for a group of clients.Which client demonstrates a decline immune response that typically occurs with the aging process?

A client,recently diagnosed with rheumatoid arthritis (RA),asks the nurse whether RA will affect her in other ways.When responding to the client,which systems will the nurse include as possibly being affected by the diagnosis? Select all that apply.

A nurse is caring for a pregnant client who has rheumatoid arthritis (RA).Based on this data,which does the nurse anticipate when providing care to this client?

A client with systemic lupus erythematosus (SLE)is being treated with immunosuppressant drugs and corticosteroids.When providing teaching for this client,which topics are appropriate for the nurse to include? Select all that apply.

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 is the priority intervention for this client?

The nurse is caring for a client admitted to an urgent care clinic due to an arm infection.The client reports being bitten by a raccoon on a recent camping trip.Based on this data,which treatment option does the nurse anticipate for this client?

A nurse is developing a plan of care for a client who was recently diagnosed with human immunodeficiency virus (HIV).The client states,"I don't plan on giving up sex just because I am HIV positive." Based on this data,which nursing diagnosis is the priority for this client?

A nurse is caring for a client with seasonal hypersensitivity reactions.What teaching would the nurse provide to improve this client's comfort? Select all that apply.

A nurse is working in a summer camp for children.One of the children comes to the clinic with several bee stings.Which clinical manifestations would necessitate the need to inject the child with epinephrine (EpiPen)? Select all that apply.

A nurse is caring for a client who is newly diagnosed with rheumatoid arthritis (RA).The client asks the nurse what the difference is between RA and osteoarthritis (OA).Which responses by the nurse are the most appropriate? Select all that apply.

A client has just recently been diagnosed with rheumatoid arthritis (RA).The client asks the nurse if RA always causes crippling deformities.Which teaching topics will the nurse include as ways to decrease the likelihood of crippling deformities? Select all that apply.

The nurse is admitting a pediatric client to the hospital with a VP shunt malfunction.The client's family speaks very little English.The interpreter has arrived and the nurse is obtaining a health history from the parents and learns that the client received the shunt at birth after a menigocele repair.Based on this data,which product should be avoided when providing care to this client?

A nurse working in the pediatric intensive care unit (PICU)is caring for a pediatric client with human immunodeficiency virus (HIV).The client is severely symptomatic with the additional diagnoses of lymphoma and wasting syndrome.Based on this data,which clinical stage of HIV does the nurse anticipate for this client?

The client enters the outpatient clinic and states to the triage nurse,"I think I have the flu.I'm so tired,I have no appetite,and everything hurts." The triage nurse assesses the client and finds a butterfly rash over the bridge of nose and on the cheeks.Based on this data,which diagnosis does the nurse anticipate?

The nurse is caring for a client who is hospitalized on a medical unit for a systemic infection.The client asks the nurse which defenses the body has against infection.Which physiological barriers that protect the body against microorganisms will the nurse include in the response to the client? Select all that apply.

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

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).When planning care for this client,which statement supports the nursing diagnosis of Activity Intolerance?

The nurse is caring for a client who is experiencing anaphylactic shock following the administration of a medication.Which position is the most appropriate for the nurse to place the client based on this data?

The nurse is completing a health screening for a school-age child with rheumatoid arthritis (RA).The parents ask the nurse to recommend activities that will promote exercise for their child.Which recommendation by the nurse is the most appropriate?