ATI Med-Surg: Immune – Flashcards
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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?
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Examine testicles immediately after showering
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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?
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Report left shift in WBC differential
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A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?
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DECREASED UO BUTTERLY RASH JOINT INFLAMMATION
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A nurse in the emergency department is assessing a newly admitted client. Which of the following places the client at increased risk for contracting hepatitis B?
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Unprotected sex is a risk factor
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A nurse is educating a client who is scheduled for a kidney transplant. Which of the following information regarding hyperacute rejection should the nurse include in the teaching?
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The organ will need to be removed if hyperacute rejection occurs
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CHRONIC Rejection
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Immunosuppressive therapy to prevent
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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?
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Ask family members to help with household chores - rest periods
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A nurse is caring for a client who has Hodgkin's lymphoma. Which of the following findings should the nurse expect?
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Reed-Sternberg cells
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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?
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Birth control pills are LESS EFFECTIVE
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A nurse is caring for a client who has non-Hodgkin's lymphoma and is receiving chemotherapy. Which of the following is the priority assessment finding
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Priority finding - erythema at the IV insertion site
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A nurse is providing teaching for a client who has Hodgkin's lymphoma and is undergoing external radiation treatment. Which of the following instructions should the nurse include?
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Avoid direct sun exposure
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A nurse is caring for a client who reports a skin change on her arm. Which of the following findings should the nurse report to the provider?
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Asymmetrical papule that is pigmented
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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?
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See Dr if you develop JOINT PAIN/STIFFNESS; Flu-like S/S, "BULL'S EYE RASH"
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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?
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Discard beverages that have been unfridgerated for 1 hr - risk of bacterial contamination/infection
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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
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WBC 21,000
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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?
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Throat culture
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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?
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Light skin pigmentation
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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?
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Digital rectal examination
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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?
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Avoid crowds - decreases WBC and platelets; increases risk of infection
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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
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Avoid eating fresh fruits and veggies
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A nurse is performing a breast examination on a client. Which of the following findings should the nurse report to the provider?
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Report breast tissue with an orange-peel appearance
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A nurse is assessing a client who has HIV. Which of the following findings should cause the nurse to suspect that the client's diagnosis has progressed to AIDS?
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SMALL PURPLE-COLORED SKIN LESIONS = Kaposi's Sarcoma = AIDS
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A nurse is providing care for four clients. Which of the following clients is at the greatest risk for pneumonia?
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Older adult transferred from long-term care who has dysphagia
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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?
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3 doses given starting at age 11-12
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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?
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Report WATERY DIARRHEA - PSEUDOMEMBRANOUS COLITIS
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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?
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Decreased viral load
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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?
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Carry an emergency anaphylaxis kit
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A nurse is caring for a client who has neutropenia. Which of the following findings indicates a need for intervention?
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No school-aged children the client's granddaughter is visiting and telling him about her first day of kindergarten
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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?
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Tests for Cervical Cancer
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A nurse is caring for a client who has leukemia and a platelet count of 48,000/mm3. Which of the following actions should the nurse take?
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Test urine and stool for occult blood
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A nurse is providing teaching for a client who has systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching?
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Wear gloves when it's cold - RAYNAUD'S SYNDROME (painful vasoconstrction in fingers with cold temps)
