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Exam (elaborations)

Comprehensive NCLEX -RN Immune Problems of the Adult Client 8th Ed.2021

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The nurse is conducting a teaching session with a client on their diagnosis of pemphigus. Which statement by the client indicates that the client understands the diagnosis? 1. “My skin will have tiny red vesicles.” 2. “The presence of the skin vesicles is caused by a virus.” 3. “I have an autoimmune disease that causes blistering in the skin.” 4. “Red, raised papules and large plaques covered by silvery scales will be present on my skin.”The nurse is assisting in planning care for a client with a diagnosis of immunodeficiency and should incorporate which action as a priority in the plan? 5. Protecting the client from infection 6. Providing emotional support to decrease fear 7. Encouraging discussion about lifestyle changes 8. Identifying factors that decreased the immune functionA client calls the nurse in the emergency department and states that he was just stung by a bumblebee while gardening. The client is afraid of a severe reaction because the client’s neighbor experienced such a reaction just 1 week ago. Which action should the nurse take? 1. Advise the client to soak the site in hydrogen peroxide. 2. Ask the client if he ever sustained a bee sting in the past. 3. Tell the client to call an ambulance for transport to the emergency department. 4. Tell the client not to worry about the sting unless difficulty with breathing occurs.The community health nurse is conducting a research study and is identifying clients in the community at risk for latex allergy. Which client population is most at risk for developing this type of allergy? 1. Hairdressers 2. The homeless 3. Children in day care centers 4. Individuals living in a group home

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Uploaded on
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