answers
Which data would the nurse document for a client who returns to the clinic with
induration of the skin 48 hours after receiving a purified protein derivative (PPD) test?
Select all that apply. One, some, or all responses may be correct.
The client has been exposed to tuberculosis.
Which action would the nurse take when a client receiving an infusion of penicillin
reports having an anaphylactic reaction to penicillin in the past? Select all that apply.
One, some, or all responses may be correct.
-notifying rapid response
-measuring O2 level
-administering epinephrine
-inserting an indwelling catheter
-assessing the respiratory pattern
Which intervention would the nurse recommend to decrease tuberculosis (TB) in the
community? Select all that apply. One, some, or all responses may be correct.
Improving financial resources
Eliminating overcrowded housing
Initiating needle-sharing programs
Improving access for food pantries
Providing barrier contraceptive devices
The nurse understands which vaccine is administered through the intranasal route?
influenza live vaccine
Which strategies would the nurse use to reduce pain during or after vaccination in a
child? Select all that apply. One, some, or all responses may be correct.
Applying topical anesthetic
Providing tactile stimulation
Holding the child upright during vaccination
A client has a history of a persistent cough, hemoptysis, unexplained weight loss,
fatigue, night sweats, and fever. Which risk would be assessed?
HIV
,The nurse is providing counseling to a client with the diagnosis of systemic lupus
erythematosus (SLE). Which recommendations are essential for the nurse to include?
Select all that apply. One, some, or all responses may be correct.
"Wear a large-brimmed hat."
"Take your temperature daily."
"Balance periods of rest and activity."
The nurse is interviewing a client who was diagnosed with systemic lupus
erythematosus (SLE). Which clinical findings to this disease would the nurse expect the
client to exhibit? Select all that apply. One, some, or all responses may be correct.
-butterfly facial rash
-inflammation of the joints
Which clinical manifestations may indicate a client has systemic lupus erythematosus
(SLE)? Select all that apply. One, some, or all responses may be correct.
-pericarditis
-discoid lesions
-pleural effusions
Identify the type of hypersensitivity reaction associated with systemic lupus
erythematosus (SLE).
type III
A client is experiencing an exacerbation of systemic lupus erythematosus. To reduce
the frequency of exacerbations, what would be important for the nurse to include in the
client's teaching plan?
techniques to reduce stress
An adolescent has been admitted with a history of symptoms of fatigue, intermittent
fever, weight loss, and arthralgia, and the diagnosis is systemic lupus erythematosus.
Which is the best intervention at this time?
education about diet, rest, and exercise
Which potential clinical manifestations would the nurse associate with a client
diagnosed with systemic lupus erythematosus (SLE)? Select all that apply. One,
some, or all responses may be correct.
-joint pain
-facial rash
-pericarditis
Which type of hypersensitivity reaction would the nurse teach a client with rheumatoid
arthritis (RA)?
immune complex
, Which assessment findings would the nurse identify in a client with clinical
manifestations of rheumatoid arthritis (RA)? Select all that apply. One, some, or all
responses may be correct.
Development of antinuclear antibodies
Inflammatory disease pattern
Bilateral involvement of metacarpophalangeal joints
Which instruction would the nurse share with the client receiving etanercept therapy for
rheumatoid arthritis?
report site reaction
Which factor explains why a client who experiences an acute episode of rheumatoid
arthritis has swollen finger joints?
Inflammation in the joint's synovial lining
Which laboratory test would the nurse review for a client suspected to have rheumatoid
arthritis?
Antinuclear antibody
Which intervention would the nurse teach the client who has rheumatoid arthritis to
alternate with periods of rest?
Active exercises
Which nursing intervention indicates misinformation when providing care for clients with
the human immunodeficiency virus (HIV) infection?
"I will ask the client to avoid involvement in community activities."
When providing care for a client with human immunodeficiency virus (HIV) infection,
which clinical manifestation would the nurse report immediately to the primary health
care provider?
Blood in the urine
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According to the Centers for Disease Control and Prevention (CDC), which stage of the
human immunodeficiency virus (HIV) disease is present in the client with a laboratory
report revealing a CD4+ T-cell count of 520 cells/mm3?
stage 1
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To reduce the incidence of human immunodeficiency virus (HIV) transmission, which
basic strategies would the nurse teach a health class? Select all that apply. One,
some, or all responses may be correct.
-condoms
-abstinence
Which statement is inaccurate regarding the mechanisms of antiviral medications to
control human immunodeficiency virus (HIV) infections?