The nurse is advising a clinic patient who was exposed a week ago to human immunodeficiency virus (HIV) through unprotected sexual intercourse. The patient's antigen and antibody test has just been reported as negative for HIV. What instructions
should the nurse give to this patient?
a. "You will...
NU 225- Quiz 5 Questions and Correct
Answers
The nurse is advising a clinic patient who was exposed a week ago to human
immunodeficiency virus (HIV) through unprotected sexual intercourse. The patient's
antigen and antibody test has just been reported as negative for HIV. What instructions
should the nurse give to this patient?
a. "You will need to be retested in 2 weeks."
b. "You do not need to fear infecting others."
c. "Since you don't have symptoms and you have had a negative test, you do not have
HIV)."
d. "We won't know for years if you will develop acquired immunodeficiency
syndrome (AIDS)." ✅A
HIV screening tests detect HIV-specific antibodies or antigens, but typically it takes a
several
week delay after initial infection before HIV can be detected on a screening test.
Combination
antibody and antigen tests (also known as fourth-generation tests) decrease the window
period to
within 3 weeks after infection. It is not known based on this information whether the
patient is
infected with HIV or can infect others.
Determination of whether an event is a stressor is based on a person's:
a. tolerance
b. perception
c. adaption
d. stubbornness ✅b. perception
,An adult patient arrived in the emergency department (ED) with minor facial lacerations
after a motor vehicle accident and has an initial blood pressure (BP) of 182/94. Which
action by the nurse is most appropriate?
a. Start an IV line to administer antihypertensive medications.
b. Discuss the need for hospital admission to control blood pressure.
c. Treat the abrasions and discuss the risks associated with hypertension.
d. Recheck the blood pressure after the patient is stabilized and has received treatment.
✅ANS: D
When a patient experiences an acute stressor, the blood pressure increases. The nurse
should plan to recheck the BP after the patient has stabilized and received treatment.
This will provide a more accurate indication of the patient's usual blood pressure.
Elevated blood pressure that occurs in response to acute stress does not increase the
risk for health problems such as stroke, indicate a need for hospitalization, or indicate a
need for IV antihypertensive medications.
Which statement made by an adolescent girl indicates an understanding about the
prevention of sexually transmitted diseases (STDs)?
a. "I know the only way to prevent STDs is to not be sexually active."
b. "I practice safe sex because I wash myself right after sex."
c. "I won't get any kind of STD because I take the pill."
d. "I only have sex if my boyfriend wears a condom." ✅ANS: A
Feedback
A Abstinence is the only foolproof way to prevent an STD.
B STDs are transmitted through body fluids (semen, vaginal fluids, blood). Perineal
hygiene will not prevent an STD.
C Oral contraceptives do not protect women from contracting STDs.
D A condom can reduce but not eliminate an individual's chance of acquiring an STD.
The camp nurse is telling a group of campers and their counselors how to avoid insect
and tick bites. What information should the nurse include?
Select all that apply.
A. Dark, long-sleeved shirts should be worn.
B. A hat is helpful when in wooded and grassy areas.
C. Try to stay on paths rather than walking through dense areas.
D. Apply insect repellent lightly on the hands.
E. Ticks should be scraped off the skin.
F. Shirts should be tucked into the pants. ✅B, C, F
A hat is very helpful to protect the head from insects getting in the hair when in wooded
and grassy areas. Trying to stay on paths rather than walking through dense areas is
true. Shirts should be tucked into the pants to prevent insects and ticks getting to the
,skin. Light, long sleeved shirts should be worn because of being able to see insects and
ticks. Insect repellent should not be applied on the hands because the hands often
touch the eyes and mouth. Ticks should be removed with tweezers. The tick should be
removed as close to the skin as possible using steady upward pressure. Ensure that all
mouthparts are removed from the skin.
A nurse in a well-child clinic is teaching parents about their child's immune system.
Which statement by the nurse is correct?
a. The immune system distinguishes and actively protects the body's own cells from
foreign substances.
b. The immune system is fully developed by 1 year of age.
c. The immune system protects the child against communicable diseases in the first 6
years of life.
d. The immune system responds to an offending agent by producing antigens. ✅ANS:
A
Feedback
A The immune system responds to foreign substances, or antigens, by producing
antibodies and storing information. Intact skin, mucous membranes, and processes
such as coughing, sneezing, and tearing help maintain internal homeostasis.
B Children up to age 6 or 7 years have limited antibodies against common bacteria. The
immunoglobulins reach adult levels at different ages.
C Immunization is the basis from which the immune system activates protection against
some communicable diseases.
D Antibodies are produced by the immune system against invading agents, or antigens.
A child with recurrent infections, facial edema, hypertension, and delayed growth in
height is seen in the pediatrician's office. Which question would be most important for
the nurse to ask the mother?
A. "What medications are being taken by your child?"
B. "When did this current infection begin?"
C. "Are your other children shorter than usual?"
D. "Is your child having headaches?" ✅A. "What medications are being taken by your
child?"
Facial edema, hypertension, recurrent infections, and delayed growth in height are
some of the clinical manifestations of excess steroid administered systemically. It would
be important to know about when the infection began, but the child has a cluster of
problems. It would be important to know if shortness in height runs in the family, but the
child has a cluster of symptoms that can stem from systemic steroid use. Headaches
can occur from hypertension, but the underlying problems, not the symptoms, need to
be addressed.
1. The nurse provides discharge instructions to a patient who has an immune deficiency
involving the T lymphocytes. Which health screening should the nurse include in the
teaching plan for this patient?
, a. Screening for allergies
b. Screening for malignancies
c. Screening for antibody deficiencies
d. Screening for autoimmune disorders ✅ANS: B
Cell-mediated immunity is responsible for the recognition and destruction of cancer
cells. Allergic reactions, autoimmune disorders, and antibody deficiencies are mediated
primarily by B lymphocytes and humoral immunity.
DIF: Cognitive Level: Apply (application) REF: 196
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and
Maintenance
The mother of a child with sickle cell disease calls the pediatrician's office because she
thinks her son may have fifth disease. What information should the nurse give the
mother?
A. "Keep your child comfortable at home, but if you notice a major change in his activity
level or behavior, call us immediately."
B. "Use cool baths with oatmeal to decrease itching first thing in the morning and before
going to bed at night."
C. "Keep your child away from all of the other members of the household for the next
three days."
D. "Increase your son's intake of protein and fluids to help replace the liquid he is losing
through his skin." ✅A. "Keep your child comfortable at home, but if you notice a major
change in his activity level or behavior, call us immediately."
Because the disease is mild, complications are not usually reported, especially in
children. Patients with sickle cell disease or beta-thalassemia are at risk for anemia and
aplastic crisis. A change in activity or energy could indicate anemia. Cool baths with
oatmeal are not indicated for this illness. The child needs to be kept away from other
family members for longer than 3 days. Increasing protein and fluids is not indicated for
this child.
A child is being discharged home on a regimen of oral corticosteroids. What information
is most important for the nurse to explain to the parents?
A. Reduce the dosage as quickly as possible so dependence on the medication is
avoided.
B. Any new cuts should be washed with soap and water and then covered with a
bandage.
C. Increased appetite and energy are interpreted as a positive response to the
medication.
D. If the child becomes ill, notify the physician who ordered the medication immediately.
✅D. If the child becomes ill, notify the physician who ordered the medication
immediately.
If the child becomes ill, the physician who ordered the medication should be notified
because of the increased stress. Supplemental glucocorticoids might be necessary
during times of increased stress to prevent adrenal insufficiency. The dosage should be
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller twishfrancis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
