Med-Surg: Immune – Flashcards
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A nurse is teaching 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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Three doses are administered to adolescents who start the series after age 15.
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A nurse is providing teaching to a client who has rheumatoid arthritis and reports persistent pain. Which of the following responses should the nurse make?
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"Ask a friend or a family member to help with household chores."
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A nurse is providing teaching to 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 providing teaching to 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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"I should wear gloves when it is cold outside."
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A nurse is providing teaching to a client who is scheduled for a Papanicolaou (Pap) test. The nurse should inform the client that she is being tested for which of the following?
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Cervical cancer
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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 count 21,000/mm3
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A nurse is caring for a client who reports a skin change. Which of the following findings should the nurse report to the provider?
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An asymmetrical papule that is pigmented
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A nurse is educating a client who is scheduled for a kidney transplant. Which of the following information about 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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A nurse is caring for a client who has viral pneumonia. Which of the following findings should the nurse report to the provider immediately?
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Left shift in WBC differential
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A nurse is providing teaching to 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.
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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 unrefrigerated for 1 hr.
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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 to the provider immediately?
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Watery diarrhea
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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
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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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Erythema at the IV insertion site
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A nurse is reviewing the laboratory report 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 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 the testicles immediately after showering.
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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 the client's urine and stool for occult blood.
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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 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 in the emergency department is assessing a newly admitted client. Which of the following findings places the client at increased risk for contracting hepatitis B?
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Engaging in unprotected sexual intercourse
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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? (Select all that apply.)
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Decreased urine output, Butterfly rash, Joint inflammation
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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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"If you develop pain and stiffness in your joints, you should see your doctor."
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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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An older adult client who has dysphagia
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A nurse is providing teaching to 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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"I will use a backup method of birth control while I am taking this medication."
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A nurse is performing a breast examination on a female client who is pregnant. Which of the following findings should the nurse report to the provider?
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Breast tissue with an orange-peel appearance
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A nurse is providing teaching to 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 to the skin.
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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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The client's granddaughter is visiting and telling him about her first day of kindergarten.
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A nurse is providing teaching to 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 teaching a client who is receiving chemotherapy. The client's laboratory results indicate bone marrow suppression. Which of the following instructions should the nurse include in the teaching?
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"Bathe with an antimicrobial soap twice per day."
