Immune & HIV practice for Exam Questions with 100% correct Answers

A nurse is caring for a group of clients. For which of the following tasks should the nurse wear gloves? (Select all that apply.) a. Emptying urine from an indwelling urinary catheter collection bag b. Providing oral care c. Changing an ostomy pouch d. Delivering a food tray to a client who has AIDS e. Placing oral medication tablets into a client's hand - Ans-a. Emptying urine from an indwelling urinary catheter collection bag b. Providing oral care c. Changing an ostomy pouch A nurse is administering an IM injection using a passive needle-safety device. After injection, which of the following actions should the nurse take? a. Activate the device immediately after injection b. Make sure the needle retracts into the barrel of the syringe c. Pull the plastic sheath over the needle d. Remove the safety device before disposal - Ans-b. Make sure the needle retracts into the barrel of the syringe A nurse is caring for a client who is immunocompromised. Which of the following actions should the nurse take first? a. Ensure all visitors wear masks. b. Implement neutropenic precautions c. Perform hand hygiene before and after care d. Move the client to a positive-airflow room - Ans-c. Perform hand hygiene before and after care During an admission interview, a client tells the nurse that he takes echinacea, but does not remember why his provider recommended it for him. The nurse should remind the client that this herbal supplemental has which of the following actions? a. Treats osteoarthritis b. Promotes weight loss c. Enhances memory and cognition d. Stimulates the immune system - Ans-d. Stimulates the immune system A nurse is reviewing the laboratory results of a client who is taking cyclosporine following a kidney transplant. Which of the following laboratory findings should the nurse identify as the most important to report to the provider? a. Increase in serum glucose b. Increase in serum creatinine c. Decrease in white blood cell count d. Decrease in platelets - Ans-b. Increase in serum creatinine A charge nurse is observing a staff nurse caring for a client who has multiple skin lesions from a varicella zoster infection. Which of the following actions should the charge nurse identify as an indication that the nurse understands the precautions to take when caring for a client who has this infection? a. The nurse wears a high-efficiency particular air (HEPA) filter mask b. The nurse wears gloves when checking the drop rate of the client's IV infusion c. The nurse wears a gown when administering oral medications d. The nurse wears a face shield when assisting the client with oral hygiene - Ans-a. The nurse wears a high-efficiency particular air (HEPA) filter mask A nurse is reviewing a client's admission laboratory values. The client has thrombocytopenia with a platelet count of 34,000/mm3. Which of the following actions should the nurse take? a. Apply pressure for 3 to 10 min following venipunctures b. Have the client perform the Valsalva when toileting c. Secure a warm cloth over ecchymosis for 25 to 30 min following injury d. Check for the presence of WBCs in the urine - Ans-a. Apply pressure for 3 to 10 min following venipunctures A charge nurse is planning to admit several clients to the medical unit. Which of the following clients should the nurse assign to a private room? a. A client who is admitted with thrombocytopenia b. A client who had a total hip arthroplasty c. A client who is newly diagnosed as HIV positive d. A client who has neutropenia - Ans-d. A client who has neutropenia A nurse is preparing a client for intradermal tuberculin skin testing (TST). Which of the following statements should the nurse make? a. "An indurated area of 4 millimeters indicates a positive results." b. "The injection site will be evaluated within 24 hours." c. "The test will not be administered if you have had a previous negative result" d. "A positive result does not always indicate active disease." - Ans-d. "A positive result does not always indicate active disease." A nurse assisting a provider with a sterile procedure prepares to pour a sterile solution onto a piece of gauze. In which order should the nurse perform the steps of pouring the solution? - Ans-1. Remove the bottle cap 2. Place the bottle cap inside up on clean surface 3. Pick up the bottle with the label facing his palm 4. Pour 1 to 2 mL into a receptacle 5. Pour the solution onto the gauze A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of the following treatments should the infant receive? a. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months b. The hepatitis B vaccine monthly unit the newborn tests negative for the hepatitis B surface antigen c. Hepatitis B immune globulin and the hepatitis B vaccine within 12 hr of birth d. The hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days - Ansc. Hepatitis B immune globulin and the hepatitis B vaccine within 12 hr of birth A nurse is preparing a sterile field. Which of the following actions should the nurse take first? a. Grasp the outer edge of the innermost flap and lay it on the table. b. Center the sterile pack on the work surface c. Open the outermost flap away from the body d. Grasp the side flap by the outer edge and lay it on the work surface - Ans-b. Center the sterile pack on the work surface