Targeted Medical-Surgical Immune Latest Questions and Answers
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Course
Targeted Medical-Surgical Immune
Institution
Targeted Medical-Surgical Immune
Targeted Medical-Surgical Immune Latest Questions and Answers
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?
A. Small, purple-colored skin lesions
B. Fever and diarrhea lasting lo...
Targeted Medical -Surgical Immune Latest Questions and Answers A nurse is assessing a client who has HIV. Which of the following findi ngs should cause the nurse to suspect that the client's diagnosis has progressed to AIDS? A. Small, purple -colored skin lesions B. Fever and diarrhea lasting longer than 1 month C. Persistent, generalized lymphadenopathy D. CD4 -T-cells decreased to 750 c ells/mm3 [Correct Ans: - A. Small, purple -colored skin lesions -- this is an indication the client has acquired Kaposi's sarcoma, an AIDS -defining illness all are manifestations of HIV; AIDS requires below 200 for CD4 A nurse is providing teaching for a cl ient who is HIV -positive. Which of the following instructions should the nurse include in the teaching? A. Clean bathroom surfaces with full -strength bleach B. Discard beverages that have been unrefrigerated for 1 hr. C. Wash laundry soiled with a body fl uid in warm water D. Work in the garden [Correct Ans: - B. Discard beverages that have been unrefrigerated for 1 hour -- bacteria can grow in open, unrefrigerated beverages, placing client at risk for infection A. -- Clean with 10% bleach C. -- Wash in hot water D. -- Avoid due to proximity of bacteria in plants and soil 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? A. "I should use a sunscree n with an SPF of at least 15" B. "Long -term immunosuppressive therapy could cure this disease" C. "I should wear gloves when its cold outside." D. "SLE should not affect my lungs or breathing" [Correct Ans: - C. "I should wear gloves when it is cold outside " -- Raynaud's commonly accompanies SLE and can cause painful vasoconstriction in client's fingers when exposed to cold temperatures A. -- SPF of at least 30 B. -- lifelong chronic autoimmune disease D. -- affect all body systems; can cause pleural effusi ons and pneumonia 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? A. "Take a cool bath in the evening" B. "Exercise every other day" C. "Use pillo ws to support your joints while in bed" D. "Ask a friend or a family member to help with household chores" [Correct Ans: - D. "Ask a friend of family member to help with household chores" -- this helps reduce the risk for joint injury and give the client op portunity to rest A. -- warm shower helps relax muscles and reduce pain instead of tub bath due to difficulty getting in and out B. -- exercise daily but to balance activity with rest C. -- use only one small pillow, placed behind the head, while in bed t o prevent flexion contractures A nurse is caring for a client who has viral pneumonia. Which of the following findings should the nurse report to the provider immediately? A. Negative blood culture B. Left shift in WBC differential C. Oxygen saturation 93%
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