MEDSURGE QUIZ 1 36 37 38 39 40 ALL ME P P P P P P P P P
DSURGE QUIZES 2022.. P P
20. The nurse educator is differentiating primary immunodeficiency diseases
P P P P P P P P
from secondary immunodeficiencies. What is the defining characteristic of
P P P P P P P P
primary
P
immunodeficiency diseases? P
a. They have a genetic origin
P P P P P
21. The nurse is caring for a patient with an immunodeficiency who has
P P P P P P P P P P P P
,experienced sudden malaise. The nurse's colleague states, iI'm pretty sure that
P P P P P P P P P P
it's
P
not an infection, because the most recent blood work looks fine.i What principle
P P P P P P P P P P P P
should guide the nurse's response to the colleague?
P P P P P P P
a. Immunodeficient patients will usually exhibit subtle and atypical
P P P P P P P P
signs of infection
P P
22. A patient with a diagnosis of primary immunodeficiency informs the nurse
P P P P P P P P P P P
that he has been experiencing a new onset of a dry cough and occasional
P P P P P P P P P P P P P
shortness of breath. After determining that the patient's vital signs are within
P P P P P P P P P P P
reference ranges, what action should the nurse take?
P P P P P P P
a. Assess the patient for signs and symptoms of infection
P P P P P P P P P
23. A nurse is preparing to administer a scheduled dose of IVIG to a patient
P P P P P P P P P P P P P P
who
P
has a diagnosis of severe combined immunodeficiency disease (SCID). What
P P P P P P P P P
medication should the nurse administer prior to initiating the infusion?
P P P P P P P P P
a. Diphenhydramine
P
24. An immunocompromised patient is being treated in the hospital. The nurse's
P P P P P P P P P P P
assessment reveals that the patient's submandibular lymph nodes are swollen, a
P P P P P P P P P P
finding that represents a change from the previous day. What is the nurse's
P P P P P P P P P P P P
most
P
appropriate action? P
a. Inform the patient's primary care provider of this finding
P P P P P P P P P
25. A nurse caring for a patient who has an immunosuppressive disorder knows
P P P P P P P P P P P P
that continual monitoring of the patient is critical. What is the primary rationale
P P P P P P P P P P P P
behind the need for continual monitoring?
P P P P P
a. So that early signs of impending infection can be detected and
P P P P P P P P P P P
treated
,26. A nurse is planning the care of a patient who requires immunosuppression
P P P P P P P P P P P P
to
P
ensure engraftment of depleted bone marrow during a transplantation
P P P P P P P P
procedure.
P
What is the most important component of infection control in the care of this
P P P P P P P P P P P P P
patient?
a. Thorough and consistent hand hygiene
P P P P P
27. A home health nurse is caring for a patient who has an immunodeficiency.
P P P P P P P P P P P P P
What is the nurse's priority action to help ensure successful outcomes and a
P P P P P P P P P P P P
favorable prognosis? P
a. Encourage the patient and family to be active partners in the
P P P P P P P P P P P
management of theimmunodeficiency P P
28. A nurse is preparing to discharge a patient with an immunodeficiency.
P P P P P P P P P P P
When
P
preparing the patient for self-infusion of IVIG in the home setting, what
P P P P P P P P P P P
education
P
should the nurse prioritize?P P P
a. Signs and symptoms of adverse reactions
P P P P P P
29. A home health nurse will soon begin administering IVIG to a new patient
P P P P P P P P P P P P P
on a
P P
regular basis. What teaching should the nurse provide to the patient?
P P P P P P P P P P
a. Expected benefits and outcomes of the treatment
P P P P P P P
30. The home health nurse is assessing a patient who is immunosuppressed
P P P P P P P P P P P
following a liver transplant. What is the most essential teaching for this patient
P P P P P P P P P P P P
and
P
the family?
P
a. The need to report any slight changes in the patient's health status
P P P P P P P P P P P P
, 31. Family members of an immunocompromised patient have asked the nurse
P P P P P P P P P P
why antibiotics are not being given to the patient in order to prevent infection.
P P P P P P P P P P P P P
How
P
should the nurse best respond? P P P P
a. Using antibiotics to prevent infections can cause the growth of
P P P P P P P P P P
drug-resistant bacteria P
32. A
P 6-month-old
P infant
P P has been
P P diagnosed with
P X-linked
P
agammaglobulinemia
P
and the parents do not understand why their baby did not develop an infection
P P P P P P P P P P P P P
during the first months of life. The nurse should describe what phenomenon?
P P P P P P P P P P P
a. Passive acquired immunity
P P P
CHP 37 P
1. A clinic nurse is caring for a patient admitted with AIDS. The nurse has
P P P P P P P P P P P P P P
assessed
P
that the patient is experiencing a progressive decline in cognitive, behavioral,
P P P P P P P P P P
and
P
motor functions. The nurse recognizes that these symptoms are most likely
P P P P P P P P P P
related
P
to the onset of what complication?
P P P P P
a. HIV encephalopathy
P P
2. A nurse is assessing a 28-year-old man with HIV who has been admitted with
P P P P P P P P P P P P P P
pneumonia. In assessing the patient, which of the following observations takes
P P P P P P P P P P
immediate priority? P
a. Tachypnea and restlessness
P P P
3. A patient has come into the free clinic asking to be tested for HIV infection.
P P P P P P P P P P P P P P P
The
P
patient asks the nurse how the test works. The nurse responds that if the testing
P P P P P P P P P P P P P P
DSURGE QUIZES 2022.. P P
20. The nurse educator is differentiating primary immunodeficiency diseases
P P P P P P P P
from secondary immunodeficiencies. What is the defining characteristic of
P P P P P P P P
primary
P
immunodeficiency diseases? P
a. They have a genetic origin
P P P P P
21. The nurse is caring for a patient with an immunodeficiency who has
P P P P P P P P P P P P
,experienced sudden malaise. The nurse's colleague states, iI'm pretty sure that
P P P P P P P P P P
it's
P
not an infection, because the most recent blood work looks fine.i What principle
P P P P P P P P P P P P
should guide the nurse's response to the colleague?
P P P P P P P
a. Immunodeficient patients will usually exhibit subtle and atypical
P P P P P P P P
signs of infection
P P
22. A patient with a diagnosis of primary immunodeficiency informs the nurse
P P P P P P P P P P P
that he has been experiencing a new onset of a dry cough and occasional
P P P P P P P P P P P P P
shortness of breath. After determining that the patient's vital signs are within
P P P P P P P P P P P
reference ranges, what action should the nurse take?
P P P P P P P
a. Assess the patient for signs and symptoms of infection
P P P P P P P P P
23. A nurse is preparing to administer a scheduled dose of IVIG to a patient
P P P P P P P P P P P P P P
who
P
has a diagnosis of severe combined immunodeficiency disease (SCID). What
P P P P P P P P P
medication should the nurse administer prior to initiating the infusion?
P P P P P P P P P
a. Diphenhydramine
P
24. An immunocompromised patient is being treated in the hospital. The nurse's
P P P P P P P P P P P
assessment reveals that the patient's submandibular lymph nodes are swollen, a
P P P P P P P P P P
finding that represents a change from the previous day. What is the nurse's
P P P P P P P P P P P P
most
P
appropriate action? P
a. Inform the patient's primary care provider of this finding
P P P P P P P P P
25. A nurse caring for a patient who has an immunosuppressive disorder knows
P P P P P P P P P P P P
that continual monitoring of the patient is critical. What is the primary rationale
P P P P P P P P P P P P
behind the need for continual monitoring?
P P P P P
a. So that early signs of impending infection can be detected and
P P P P P P P P P P P
treated
,26. A nurse is planning the care of a patient who requires immunosuppression
P P P P P P P P P P P P
to
P
ensure engraftment of depleted bone marrow during a transplantation
P P P P P P P P
procedure.
P
What is the most important component of infection control in the care of this
P P P P P P P P P P P P P
patient?
a. Thorough and consistent hand hygiene
P P P P P
27. A home health nurse is caring for a patient who has an immunodeficiency.
P P P P P P P P P P P P P
What is the nurse's priority action to help ensure successful outcomes and a
P P P P P P P P P P P P
favorable prognosis? P
a. Encourage the patient and family to be active partners in the
P P P P P P P P P P P
management of theimmunodeficiency P P
28. A nurse is preparing to discharge a patient with an immunodeficiency.
P P P P P P P P P P P
When
P
preparing the patient for self-infusion of IVIG in the home setting, what
P P P P P P P P P P P
education
P
should the nurse prioritize?P P P
a. Signs and symptoms of adverse reactions
P P P P P P
29. A home health nurse will soon begin administering IVIG to a new patient
P P P P P P P P P P P P P
on a
P P
regular basis. What teaching should the nurse provide to the patient?
P P P P P P P P P P
a. Expected benefits and outcomes of the treatment
P P P P P P P
30. The home health nurse is assessing a patient who is immunosuppressed
P P P P P P P P P P P
following a liver transplant. What is the most essential teaching for this patient
P P P P P P P P P P P P
and
P
the family?
P
a. The need to report any slight changes in the patient's health status
P P P P P P P P P P P P
, 31. Family members of an immunocompromised patient have asked the nurse
P P P P P P P P P P
why antibiotics are not being given to the patient in order to prevent infection.
P P P P P P P P P P P P P
How
P
should the nurse best respond? P P P P
a. Using antibiotics to prevent infections can cause the growth of
P P P P P P P P P P
drug-resistant bacteria P
32. A
P 6-month-old
P infant
P P has been
P P diagnosed with
P X-linked
P
agammaglobulinemia
P
and the parents do not understand why their baby did not develop an infection
P P P P P P P P P P P P P
during the first months of life. The nurse should describe what phenomenon?
P P P P P P P P P P P
a. Passive acquired immunity
P P P
CHP 37 P
1. A clinic nurse is caring for a patient admitted with AIDS. The nurse has
P P P P P P P P P P P P P P
assessed
P
that the patient is experiencing a progressive decline in cognitive, behavioral,
P P P P P P P P P P
and
P
motor functions. The nurse recognizes that these symptoms are most likely
P P P P P P P P P P
related
P
to the onset of what complication?
P P P P P
a. HIV encephalopathy
P P
2. A nurse is assessing a 28-year-old man with HIV who has been admitted with
P P P P P P P P P P P P P P
pneumonia. In assessing the patient, which of the following observations takes
P P P P P P P P P P
immediate priority? P
a. Tachypnea and restlessness
P P P
3. A patient has come into the free clinic asking to be tested for HIV infection.
P P P P P P P P P P P P P P P
The
P
patient asks the nurse how the test works. The nurse responds that if the testing
P P P P P P P P P P P P P P
