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A nurse learning about antibody-mediated immunity learns that the cell with the
most direct role in this process begins development in which tissue or organ? - 🧠
ANSWER ✔✔Bone marrow
The nurse is learning about immunoglobulins. . Which principles does the nurse
learn? (Select all that apply.) - 🧠 ANSWER ✔✔IgA is found in high concentrations
in secretions from mucous membranes.,
IgE is associated with antibody-mediated hypersensitivity reactions.,
IgG comprises the majority of the circulating antibody population.,
IgM is the first antibody formed by a newly sensitized B-cell.
A clinic nurse is working with an older client. What action is most important for
preventing infections in this client? - 🧠 ANSWER ✔✔Assessing vaccination
records for booster shot needs
,A nurse is talking with a client about a negative enzyme-linked immunosorbent
assay (ELISA) test for human immune deficiency virus (HIV). The test is negative
and the client states "Whew! I was really worried about that result." What action
by the nurse is most important? - 🧠 ANSWER ✔✔Assess the client's sexual
activity and patterns.
The nurse is presenting information to a community group on safer sex practices.
The nurse would teach that which sexual practice is the riskiest? - 🧠 ANSWER
✔✔Anal intercourse
A client with HIV-III is admitted to the hospital with Toxoplasma gondii infection.
Which action by the nurse is most appropriate? - 🧠 ANSWER ✔✔Conduct
frequent neurologic assessments.
A client is being administered the first dose of belimumab for a systemic lupus
erythematosus flare. What actions by the nurse are most appropriate? (Select all
that apply.) - 🧠 ANSWER ✔✔Observe the client for at least 2 hours afterward.,
Ensure emergency equipment is working and nearby.
A client calls the clinic to report exposure to poison ivy and an itchy rash that is
not helped with over-the-counter antihistamines. What response by the nurse is
most appropriate? - 🧠 ANSWER ✔✔"Antihistamines do not help poison ivy."
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,A client is in the hospital and has received two doses of an angiotensin-converting
enzyme for hypertension. When the nurse answers the client's call light, the client
presents an appearance as shown below:
What action by the nurse takes is most appropriate? - 🧠 ANSWER ✔✔Ensure a
patent airway while calling the Rapid Response Team.
A nurse is providing community education on the seven warning signs of cancer.
Which signs are included? (Select all that apply.) - 🧠 ANSWER ✔✔A sore that
does not heal,
Changes in menstrual patterns,
Indigestion or trouble swallowing,
Obvious change in a mole,
Frequent indigestion
A nurse is learning the difference between normal cells and benign tumor cells.
What information does this include? - 🧠 ANSWER ✔✔Growing in the wrong
place or time is typical of benign tumors.
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, A nurse is assessing a client with glioblastoma. What assessment is most
important? - 🧠 ANSWER ✔✔Neurologic examination
A nurse works with clients who have alopecia from chemotherapy. What action by
the nurse takes priority? - 🧠 ANSWER ✔✔Teaching measures to prevent scalp
injury
A client tells the oncology nurse about an upcoming vacation to the beach to
celebrate completing radiation treatments for cancer. What response by the nurse is
most appropriate? - 🧠 ANSWER ✔✔"Do not expose the radiation area to direct
sunlight."
A client is receiving chemotherapy through a peripheral IV line. What action by
the nurse is most important? - 🧠 ANSWER ✔✔Assessing the IV site and blood
return every hour
A client is admitted with possible sepsis. Which action will the nurse perform first?
- 🧠 ANSWER ✔✔Obtain specified cultures.
Which statements are true regarding Standard Precautions? (Select all that apply.) -
🧠 ANSWER ✔✔Use personal protective equipment as needed for client care.,
Wear gloves when touching clients' excretions or secretions.
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