NUR 265 Exam 4 with comprehensive Questions and Answers
For Mikael who is diagnosed of having allergic rhinitis, which nursing intervention is the most
appropriate?✔️✔️Encouraging the client to use nasal saline sprays
Which intervention should Nurse John Joe discuss with Elena who has an allergic disorder and is
requesting information for allergy symptom control? (Select all that apply.)✔️✔️Instructing the
client to cover the mattress with a hypoallergenic cover
Instructing the client to wear a mask when cleaning
Instructing the client to avoid using sprays, powders, and perfumes
Which intervention should the nurse implement when caring for a client diagnosed with
Pneumocystis carinii pneumonia related to acquired immunodeficiency syndrome who is crying
over the loss of friends and family members because they will not talk to him
anymore?✔️✔️Sitting down and listening to the client's concerns and frustration
For Aubrey Anne who has allergies, which client statement indicates that the nurse's teaching
about her condition has be successful?✔️✔️"I should avoid any types of spray, powders, and
perfumes.
Mr. Mc Princeton who is diagnosed with rheumatoid arthritis (RA) complains about joints that
always hurt, saying, "I just feel like staying in bed all day." Which discharge instruction would
be aimed at maintaining as such function as possible?✔️✔️Promote aquatic (water) exercises to
enhance joint mobility."
Nurse Vince sustained a dirty needle stick injury. Which diagnostic test would be ordered on a
client?✔️✔️SUDS screening test
, After the first injection of an immunotherapy program, the nurse notices a large, red wheal on the
client's arm, coughing, and expiratory wheezing. Which intervention should the nurse implement
first?✔️✔️Administering I.M. epinephrine per protocol
C
Slater is using a steroidal cream for allergic dermatoses. Which intervention should Nurse Rachel
implement for the client?✔️✔️Washing hands before and after applying the crea
Which clinical manifestation would cause the nurse to suspect that the client is diagnosed with
systemic lupus erythematosus?✔️✔️Joint edema and tendernesS
April is diagnosed with systemic lupus erythematosus. Which instruction would be included in
the teaching plan for the client?✔️✔️"Wear large-brimmed hats when exposed to the sun."
Which discharge instruction would be included in the care plan for a client diagnosed with atopic
dermatitis?✔️✔️Add humidity to the dry air caused by dry heat during the winter."
Theon was stung by a bee now exhibits redness and edema in the hand and forearm. The nurse's
actions would be based on which scientific rationale?✔️✔️Hypersensitivity is possible; the client
may need to buy an anti-sting kit.
Which condition would Nurse Jade suspect when a client complains of a runny nose, itching and
burning eyes, and sneezing since visiting a friend who had a cat in the home?✔️✔️Allergic rhinitis
During the past 6 months, a client diagnosed with acquired immunodeficiency syndrome has had
chronic diarrhea and has lost 18 pounds. Additional assessment findings include tented skin
turgor, dry mucous membranes, and listleness. Which nursing diagnosis focuses attention on the
client's most immediate problem?✔️✔️Deficient fluid volume related to diarrhea and abnormal
fluid loss
For a male client who has acquired immunodeficiency syndrome with chronic diarrhea, anorexia,
a history of oral candidiasis, and weight loss, which dietary instruction would be included in the
teaching plan?✔️✔️Follow a high-protein, high-calorie diet."
For Mikael who is diagnosed of having allergic rhinitis, which nursing intervention is the most
appropriate?✔️✔️Encouraging the client to use nasal saline sprays
Which intervention should Nurse John Joe discuss with Elena who has an allergic disorder and is
requesting information for allergy symptom control? (Select all that apply.)✔️✔️Instructing the
client to cover the mattress with a hypoallergenic cover
Instructing the client to wear a mask when cleaning
Instructing the client to avoid using sprays, powders, and perfumes
Which intervention should the nurse implement when caring for a client diagnosed with
Pneumocystis carinii pneumonia related to acquired immunodeficiency syndrome who is crying
over the loss of friends and family members because they will not talk to him
anymore?✔️✔️Sitting down and listening to the client's concerns and frustration
For Aubrey Anne who has allergies, which client statement indicates that the nurse's teaching
about her condition has be successful?✔️✔️"I should avoid any types of spray, powders, and
perfumes.
Mr. Mc Princeton who is diagnosed with rheumatoid arthritis (RA) complains about joints that
always hurt, saying, "I just feel like staying in bed all day." Which discharge instruction would
be aimed at maintaining as such function as possible?✔️✔️Promote aquatic (water) exercises to
enhance joint mobility."
Nurse Vince sustained a dirty needle stick injury. Which diagnostic test would be ordered on a
client?✔️✔️SUDS screening test
, After the first injection of an immunotherapy program, the nurse notices a large, red wheal on the
client's arm, coughing, and expiratory wheezing. Which intervention should the nurse implement
first?✔️✔️Administering I.M. epinephrine per protocol
C
Slater is using a steroidal cream for allergic dermatoses. Which intervention should Nurse Rachel
implement for the client?✔️✔️Washing hands before and after applying the crea
Which clinical manifestation would cause the nurse to suspect that the client is diagnosed with
systemic lupus erythematosus?✔️✔️Joint edema and tendernesS
April is diagnosed with systemic lupus erythematosus. Which instruction would be included in
the teaching plan for the client?✔️✔️"Wear large-brimmed hats when exposed to the sun."
Which discharge instruction would be included in the care plan for a client diagnosed with atopic
dermatitis?✔️✔️Add humidity to the dry air caused by dry heat during the winter."
Theon was stung by a bee now exhibits redness and edema in the hand and forearm. The nurse's
actions would be based on which scientific rationale?✔️✔️Hypersensitivity is possible; the client
may need to buy an anti-sting kit.
Which condition would Nurse Jade suspect when a client complains of a runny nose, itching and
burning eyes, and sneezing since visiting a friend who had a cat in the home?✔️✔️Allergic rhinitis
During the past 6 months, a client diagnosed with acquired immunodeficiency syndrome has had
chronic diarrhea and has lost 18 pounds. Additional assessment findings include tented skin
turgor, dry mucous membranes, and listleness. Which nursing diagnosis focuses attention on the
client's most immediate problem?✔️✔️Deficient fluid volume related to diarrhea and abnormal
fluid loss
For a male client who has acquired immunodeficiency syndrome with chronic diarrhea, anorexia,
a history of oral candidiasis, and weight loss, which dietary instruction would be included in the
teaching plan?✔️✔️Follow a high-protein, high-calorie diet."
