question

A nurse in the emergency department is assessing a newly admitted client. Which of the following places is the client at increased risk for contracting hepatitis B?

answer

Engaging in unprotected sexual intercourse (Hep B is transmitted by sexual contact)

question

A nurse is caring for a client who is receiving chemotherapy and has laboratory data revealing bone marrow suppression. The nurse should include which of the following instructions in the teaching?

answer

Avoid eating fresh fruits and vegetables (can contain bacteria)

question

A nurse is providing teaching for a client who is scheduled for a Papanicolaou (Pap) test. The nurse should instruct the client that she is being tested for which of the following?

answer

Cervical Cancer

question

A nurse is providing teaching for a client who has systemic lupus erythematous (SLE). Which of the following statements by the client indicates an understanding of the teaching?

answer

"I should wear gloves when its cold outside" (Raynauds syndrome commonly accompanies SLE and can cause painful vasoconstriction in the fingers when they are exposed to cold temperatures)

question

A nurse is reviewing the daily laboratory results for a female client who has acute leukemia. Which of the following values is an expected finding?

answer

WBC 21,00/mm (A client who has acute leukemia typically has an elevated WBC)

question

A nurse is planning an education program about testicular cancer for a group of male adolescents. Which of the following information should the nurse include?

answer

Examine your testicles immediately after showering.

question

A nurse is providing education for the parent of a child about administration guidelines for the human papilloma virus (HPV) vaccine. Which of the following information should the nurse include?

answer

Three doses should be given starting at age 11 or 12. -second dose 1-2 months after -3rd dose be given 6 months after -1st dose -can be given up to age 26

question

A nurse is caring for a client who has Hodgkins lymphoma. Which of the following findings should the nurse expect?

answer

Reed-Sternberg cells

question

A nurse is providing teaching for a client who has an allergy to peanuts. Which of the following instructions is the priority to include in the teaching?

answer

Carry an emergency anaphylaxis kit.

question

A nurse is performing a breast examination on a client. Which of the following findings should the nurse report to the provider?

answer

Breast tissue with an orange peel appearance. due to blockage of lymph channels indicates advanced breast cancer

question

A nurse is caring for a client who has HIV. Which of the following laboratory findings should suggest to the nurse that medication therapy is effective.

answer

Decreased viral load viral protein amount is decreasing in the blood

question

A nurse is caring for a client who has non-Hodgkins lymphoma and is receiving chemotherapy. Which of the following is the priority assessment finding?

answer

Erythema at the IV insertion site (The greatest risk to the client is injury to the tissue due to extravasation and infection. Erythema at the site can indicate extravasation is occurring)

question

A nurse is caring for a client who has viral pneumonia and a history of COPD. Which of the following findings should the nurse report to the provider?

answer

Left shift in the WBC differential (A left shift in the WBC differential indicates that the pneumonia is of bacterial origin, rather than viral)

question

A nurse is providing teaching for a client who has a new prescription for amoxicillin to treat a respiratory infection. Which of the following statements by the client indicates an understanding of the teaching?

answer

"My birth control pills are less effective while I am on this medication" (Antibiotics accelerate the elimination of oral contraceptives, making them less effective)

question

A nurse is providing teaching for a client who has rheumatoid arthritis and reports persistent pain. Which of the following responses by the nurse is appropriate?

answer

"Ask family members to help with household chores"

question

A nurse is caring for a client who is admitted with enlarged lymph nodes and a fever. To confirm a diagnosis of bacterial pharyngitis, the nurse should anticipate which of the following diagnostic tests?

answer

Throat culture

question

A nurse is providing teaching for a group of clients regarding prevention of skin cancer. Which of the following risk factors should the nurse include in the teaching?

answer

Light skin pigmentation

question

A nurse is providing teaching for a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following should the nurse include in the teaching?

answer

Avoid crowds (Methotrexate can decrease WBC and platelet levels, thereby increasing the risk of infection)

question

A nurse is planning an education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse include regarding lyme disease?

answer

"IF you develop pain and stiffness in your joints, you should see your doctor"

question

A nurse is providing care for four clients. Which of the following clients is at greatest risk for pneumonia?

answer

An older adult client transferred from a long-term care facility who has dysphagia.

question

A nurse is caring for a client who has a new prescription for clindamycin to treat acute pelvic inflammatory disease. The nurse should monitor for and report which of the following findings immediately to the provider?

answer

Watery diarrhea

question

A nurse is caring for a client who has leukemia and a platelet count of 48,000/mm. Which of the following actions should the nurse take?

answer

Test urine and stool for occult blood. (A client who is thrombocytopenia is at risk for occult bleeding)

question

A nurse is caring for a client who has an elevated prostate-specific antigen level. The nurse should anticipate that the client will undergo which of the following diagnostic tests?

answer

Digital rectal examination (examines the size and consistency of the prostate, thus assisting with differentiating between benign prostatic hypertrophy and prostate cancer)

question

A nurse is assessing a client who has systemic lupus erythematous (SLE) which of the following findings should the nurse expect?

answer

Decreased urine output Butterfly rash Joint Inflammation

question

A nurse is educating a client who is schedules for a kidney transplant. which of the following information regarding hyper acute rejection should the nurse include in the teaching?

answer

The organ will need to be removed if hyper acute rejection occurs. answer is about treatment

question

A nurse is caring fora client who has neutropenia. Which of the following findings indications a need for intervention?

answer

The clients granddaughter is visiting and telling him about her first day of kindergarten.

question

A nurse is assessing a client who has HIV. Which of the following findings should cause the nurse to suspect that the clients diagnosis has progressed to AIDS.

answer

Small purple colored skin lesions. (The presence of small purple colored skin lesions indicates the client has acquired Kaposi's sarcoma, which is an AIDS defining illness)

question

what is the greatest risk for client who has watery diarrhea

answer

pseudomembranous colitis

question

A nurse is providing teaching for a client who has Hodgkins lymphoma and is undergoing external radiation treatment. Which of the following instructions should the nurse include?

answer

Avoid direct sun exposure to the skin.

question

A nurse is caring fora client who reports a skin change on her arm. Which of the following findings should the nurse report to the provider?

answer

An asymmetric papule that is pigmented ( The appearance of an asymmetrical papule that is pgnented indicates a malignant melanoma)

question

A nurse is providing discharge teaching for a client who is HIV positive. Which of the following instructions should the nurse include in the teaching?

answer

Discard beverages that have been unrefrigerated for 1 hr.

question

manifestations associated with HIV

answer

-fever and diarrhea lasting longer than a month -persistent, generalized lymphadenopathy -T cell count 750 -AIDS below 200

question

expected findings for COPD

answer

-consolidation in lower lobes -oxygen sat -orthostatic hypotension

question

type of cells for pt with multiple myeloma

answer

overgrowth of B-lymphocyte plasma cells

question

what cancer associated is a pt with Epstein-Barr virus

answer

Burkitt's lymphoma

question

type of cells for pt who has leukemia

answer

overproduction of blast phase cells

question

client teaching for HIV pt

answer

-clean bathroom surfaces with 10% bleach -wash body fluid soiled laundry with warm water -do not work in garden due to bacteria in dirt

question

client teaching for Lyme disease

answer

-testing is done 4-6 weeks -ticks should be removed gently with tweezers or fingers -light colors should be worn to spot ticks easily

question

labs for acute leukemia

answer

-elevated WBC -decreased Hgb, Hct, platelet

question

what is used to diagnose testicular cancer

answer

human chorionic gonadotropin

question

how long does manifestations of RA respond to methotrexate?

answer

4-6 weeks

question

what are pts advised to increase the decrease AE of methotrexate

answer

vitamin D

question

adverse effect of methotrexate

answer

diarrhea

ATI Immune – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards