Deck 11: Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS)

Question 1

The nurse is caring for a patient who reports feeling very stressed about her new diagnosis of fibromyalgia.Which response is most beneficial in addressing the patient's stress?

A) "I can't imagine how it must feel to have this disorder."
B) "What worries you the most about your fibromyalgia?"
C) "Light exercise and relaxation techniques may really help alleviate your stress."
D) "You can talk to your doctor about your stress and ask him to prescribe some antianxiety medication."

Answer 1

"What worries you the most about your fibromyalgia?"

Question 2

The nurse is providing teaching to a patient who has undergone a liver transplant.Which statement by the patient demonstrates the need for further patient teaching?

A) "I will need to take medications to boost my immune system for the next year."
B) "I will need to be sure to avoid people that have infections."
C) "I will need to take immune suppression medications the rest of my life."
D) "I will need to be monitored to determine if my medications need adjusted."

Answer 2

"I will need to take medications to boost my immune system for the next year."

Question 3

The nurse is caring for an immune compromised patient.The patient displays a low-grade fever and complains of a burning and shooting pain,along with itching and tingling,that progresses from the clavicle to the scapula.The nurse suspects that the patient will undergo evaluation for which infection?

A) Hepatitis C
B) Shingles
C) Candidiasis
D) Cryptococcosis

Answer 3

Shingles

Question 4

The nurse has just administered a new antibiotic to a patient.Which manifestation is the best early indicator that the patient may be experiencing an anaphylactic reaction?

A) Wheezing
B) Shortness of breath
C) Difficulty swallowing
D) Angioedema

Question 5

The patient scheduled for a computed tomography (CT)scan with contrast medium questions the nurse why the technologist asked her if she had any food allergies.Which response by the nurse is correct?

A) "The dye used for a CT scan is egg based, so egg allergies would prevent you from having the test."
B) "People who are allergic to dairy products are likely to be allergic to CT scan dye."
C) "Allergies to shellfish can be a problem because shellfish and CT scan dye are iodine based."
D) "Wheat is the preservative used in CT scan dye, so allergies to wheat may cause allergies to the dye."

Question 6

The nurse is caring for a pediatric patient recently diagnosed with severe combined immunodeficiency (SCID)disease.The nurse determines that teaching has been effective after the parent makes which statement?

A) "This disease is like a pediatric version of AIDS."
B) "My child must be careful not to fall to avoid bleeding."
C) "My child should not attend day care."
D) "This problem happened because of chemotherapy treatments."

Question 7

A patient with an immune deficiency disorder has been admitted to the medical unit due to a current infection and weight loss of 12% of his body weight.Which nutritional intervention is most appropriate for this patient?

A) Fat
B) Vitamin C
C) Vitamin B₁₂
D) Protein

Question 8

MOPP and ABVD therapy for the treatment of Hodgkin disease are treatment protocols that use which combination of factors?

A) Multiple medications given concurrently
B) Heat, exercise, and chemotherapy
C) Alternating radiation and chemotherapy
D) Chemotherapy and alternative herbal remedies

Question 9

The nurse is preparing to write a care plan for the patient with fibromyalgia.Which problem/nursing diagnosis best addresses this disorder?

A) Fatigue
B) Pain, Chronic
C) Impaired Physical Mobility
D) Activity Intolerance

Question 10

The nurse is educating a patient about his diagnosis of stage II Hodgkin disease.Which statement indicates that the nurse's teaching has been successful?

A) "The cancer has spread throughout my entire body."
B) "There is only one lymph node involved."
C) "The lymph nodes in both of my arms are affected."
D) "Two nodes in my left arm area are affected."

Question 11

The nurse is working in a trauma unit and is accidentally stuck with an IV needle following venipuncture of the patient.What is the nurse's first action?

A) Immediately begin taking the two- or three-drug regimen.
B) Report the stick to the charge nurse immediately so follow-up can be initiated.
C) Wash the punctured area with soap and water.
D) Complete an incident report so immediate testing of the patient and nurse can begin.

Question 12

The nurse is educating a patient with lymphoma.Which statement indicates that the patient correctly differentiates Hodgkin lymphoma (HL)and non-Hodgkin lymphoma (NHL)?

A) "Non-Hodgkin lymphoma is less predictable and can spread faster."
B) "The first sign of Hodgkin lymphoma is that a single lymph node on one side of the body gets bigger."
C) "People who are older than 60 years are at a bigger risk than younger people."
D) "I will have to have a lot of blood work drawn."

Question 13

The nurse is educating a patient with systemic lupus erythematosus (SLE).Which information is most important for the nurse to include in the teaching plan?

A) Train with weights to increase strength.
B) Avoid glycerin-based soaps.
C) Use an SPF 15 sunblock when outdoors.
D) Apply fragrance-free lotions to dry areas twice daily.

Question 14

The nurse is assessing a patient's lymph nodes.Which finding would alert the nurse to the possibility of the patient having non-Hodgkin's lymphoma (NHL)?

A) Enlarged lymph nodes that form an adjacent line of enlargement.
B) Painful widespread enlarged lymph nodes.
C) Noncontiguous enlarged lymph nodes.
D) Enlarged lymph nodes primarily in the neck and axillary region.

Question 15

After an influenza immunization,the patient complains of shortness of breath,breaks out in hives,and begins to twitch.Which ordered medication should the nurse give first?

A) Epinephrine injection
B) Oxygen via mask at 5 L/min
C) Corticosteroid injection
D) Bronchodilators per nebulization

Question 16

The home health nurse is teaching the HIV-positive patient and his family members about infection control in the home.Which action indicates that the nurse's teaching has been successful?

A) Using only regular household cleaners to clean the bathroom
B) Placing soiled laundry directly into a hamper
C) Refusing visitors during certain months of the year
D) Wearing gloves during household chores

Question 17

The nurse is performing an assessment on a patient admitted for diagnostic testing to rule out fibromyalgia.Which assessment finding indicates that the patient actually may have the disorder?

A) A decreased response to painful stimuli
B) A pain response to nonpainful stimuli
C) Absent response to painful stimuli
D) Numbness and tingling in response to painful stimuli

Question 18

The nurse is caring for a patient with suspected Hodgkin's lymphoma (HL).For confirmation of this diagnosis,the nurse understands that the patient's blood work would reveal which type of abnormal cell?

A) Abnormal B cells
B) Abnormal T cells
C) Cytotoxic T cells
D) Reed-Sternberg (R-S) cells

Question 19

The nurse caring for a patient with advanced AIDS.While collecting data,the nurse notes a weight loss of several pounds,poor food consumption,and complaint of no appetite.Based on these findings,the nurse should carefully monitor the patient for development of which problem?

A) Lymphedema
B) Hyperglycemia
C) Hypertension
D) Anasarca

Question 20

The home care nurse is caring for a patient with a severe immune deficiency disorder.What information about infection prevention is most important for the nurse to include in the teaching plan?

A) Check your temperature daily.
B) Wash your hands frequently.
C) Check daily for signs of infection.
D) Seek medical advice at the first sign of infection.

Question 21

The patient with AIDS voices concern over the amount of money it will cost to manage his disease.The nurse is aware that the estimated medications and laboratory testing cost is an average of $______ per year for the patient with AIDS.

Question 22

Arrange the process of HIV invasion in the proper sequence.

Step 3

A)HIV attaches to CD4 receptor sites on T-helper cells.
B)Opportunistic infection occurs.
C)Infected cell replicates itself millions of times.
D)T-helper cells fail to activate phagocytes.
E)Immune system is unable to respond effectively

Question 23

Arrange the process of HIV invasion in the proper sequence.

Step 5

A)HIV attaches to CD4 receptor sites on T-helper cells.
B)Opportunistic infection occurs.
C)Infected cell replicates itself millions of times.
D)T-helper cells fail to activate phagocytes.
E)Immune system is unable to respond effectively

Question 24

Arrange the process of HIV invasion in the proper sequence.

Step 4

A)HIV attaches to CD4 receptor sites on T-helper cells.
B)Opportunistic infection occurs.
C)Infected cell replicates itself millions of times.
D)T-helper cells fail to activate phagocytes.
E)Immune system is unable to respond effectively

Question 25

Arrange the process of HIV invasion in the proper sequence.

Step 2

A)HIV attaches to CD4 receptor sites on T-helper cells.
B)Opportunistic infection occurs.
C)Infected cell replicates itself millions of times.
D)T-helper cells fail to activate phagocytes.
E)Immune system is unable to respond effectively

Question 26

When collecting data from a patient suspected of having an immune deficiency,which factor(s)should be included?

A) Family history of immune disorders
B) Age
C) Weight gain
D) Alcohol use
E) Exposure to HIV

Question 27

Which condition(s)that can cause acquired immune deficiency?

A) Chemotherapy
B) Viral infections
C) Smoking
D) Malnutrition
E) Bacterial infections

Question 28

The school nurse is instructing a group of high school sophomores in safe sex practices.Which practice(s)should the nurse include in her teaching?

A) Use a condom.
B) Use a spermicide.
C) Practice abstinence.
D) Get vaccinated against HIV.
E) Avoid unprotected orogenital sex.

Question 29

A patient has been exposed to an allergen resulting in a hypersensitivity reaction.The nurse correctly recognizes that which immunoglobulin has been triggered?

A) IgA
B) IgB
C) IgD
D) IgE

Question 30

The nurse is caring for a patient with systemic lupus erythematosus (SLE).The patient complains of severe fatigue,a butterfly rash,and joint pain.Which nursing intervention(s)is/are most appropriate for this patient?

A) Encourage the use of a sun lamp to help with the rash.
B) Assess pain control measures that have helped the patient in the past.
C) Assist the patient with planning rest periods throughout the day.
D) Remind the patient to avoid contact with people who have an infection.
E) Ensure the patient understands the importance of her medication regimen.

Question 31

During assessment of the patient diagnosed with systemic lupus erythematosus (SLE),which sign(s)and symptom(s)would the nurse expect to find?

A) Hair loss
B) Enlarged cervical lymph nodes
C) Mouth sores
D) Fatigue
E) Rashes

Question 32

Arrange the process of HIV invasion in the proper sequence.

Step 1

A)HIV attaches to CD4 receptor sites on T-helper cells.
B)Opportunistic infection occurs.
C)Infected cell replicates itself millions of times.
D)T-helper cells fail to activate phagocytes.
E)Immune system is unable to respond effectively.

Question 33

The nurse stresses that the primary emphasis on controlling HIV is __________.