NUR 250 STUDY GUIDE EXAM 2025

NUR 250 STUDY GUIDE EXAM 2025 An older adult patient who is having an annual check-up tells the nurse, I feel fine, and I dont want to pay for all these unnecessary cancer screening tests! Which information should the nurse plan to teach this patient? - -Consequences of aging on cell-mediated immunity The nurse teaches a patient diagnosed with systemic lupus erythematosus (SLE) about plasmapheresis. What instructions about plasmapheresis should the nurse include in the teaching plan? - -Plasmapheresis will remove antibody-antigen complexes from circulation. An older adult patient has a prescription for cyclosporine following a kidney transplant. Which information in the patients health history has the most implications for planning patient teaching about the medication at this time? - -The patient has a glass of grapefruit juice every day for breakfast. A patient is admitted to the hospital with acute rejection of a kidney transplant. Which intervention will the nurse prepare for this patient? - -Administration of immunosuppressant medications Acute rejection is treated with the administration of additional immunosuppressant drugs such as corticosteroids A patient who has vague symptoms of fatigue, headaches, and a positive test for human immunodeficiency virus (HIV) antibodies using an enzyme immunoassay (EIA) test. What instructions should the nurse give to this patient? - -The EIA test will need to be repeated to verify the results A patient who has a positive test for human immunodeficiency virus (HIV) antibodies is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP) and a CD4+ T-cell count of less than 200 cells/mL. Based on diagnostic criteria established by the Centers for Disease Control and Prevention (CDC), which statement by the nurse is correct - The patient has developed acquired immunodeficiency syndrome (AIDS) A young adult female patient who is human immunodeficiency virus (HIV)-positive has a new prescription for efavirenz (Sustiva). Which information is most important to include in the medication teaching plan? - -Continue to use contraception while on this medication. A patient who is human immunodeficiency virus (HIV)-infected has a CD4+ cell count of 400/L. Which factor is most important for the nurse to determine before the initiation of NURS 250 NURS 250 antiretroviral therapy (ART) for this patient? - -Patients ability to comply with ART schedule The nurse will most likely prepare a medication teaching plan about antiretroviral therapy (ART) for which patient? - -Patient who tested positive for HIV 2 years ago and now has cytomegalovirus (CMV) retinitis . The nurse palpates enlarged cervical lymph nodes on a patient diagnosed with acute human immunodeficiency virus (HIV) infection. Which action would be most appropriate for the nurse to take? - -Explain to the patient that this is an expected finding The nurse prepares to administer the following medications to a hospitalized patient with human immunodeficiency (HIV). Which medication is most important to administer at the right time? - -Oral saquinavir (Invirase) It is important that antiretroviral be taken at the prescribed time every day to avoid developing drug-resistant To evaluate the effectiveness of antiretroviral therapy (ART), which laboratory test result will the nurse review? - -Viral load testing . A patient who is scheduled for a right breast biopsy asks the nurse the difference between a benign tumor and a malignant tumor. Which answer by the nurse is correct? - -Malignant tumors may spread to other tissues or organs A patient who is diagnosed with cervical cancer that is classified as Tis, N0, M0 asks the nurse what the letters and numbers mean. Which response by the nurse is most appropriate - -The cancer involves only the cervix. A patient with metastatic cancer of the colon experiences severe vomiting following each administration of chemotherapy. Which action, if taken by the nurse, is most appropriate? - -Administer prescribed antiemetics 1 hour before the treatments. . Interleukin-2 (IL-2) is used as adjuvant therapy for a patient with metastatic renal cell carcinoma. Which information should the nurse include when explaining the purpose of this therapy to the patient? - -IL-2 enhances the immunologic response to tumor cells A hospitalized patient who has received chemotherapy for leukemia develops neutropenia. Which observation by the nurse would indicate a need for further teaching? - -The patients visitors bring in some fresh peaches from home Fresh, thinned-skin fruits are not permitted in a neutropenic diet because of the risk of bacteria being present NURS 250 The nurse assesses a patient who is receiving interleukin-2. Which finding should the nurse report immediately to the health care provider - -Crackles heard at the lower scapular border Capillary leak syndrome and acute pulmonary edema are possible toxic effects of interleukin-2 The nurse reviews the laboratory results of a patient who is receiving chemotherapy. Which laboratory result is most important to report to the health care provider? - -White blood cell (WBC) count of 2700/L