ATI MED SURG Immune and Infections Exam Questions & Answers Graded A 2024

A nurse in a provider’s office is providing teaching to a client who has recent diagnosis of rheumatoid arthritis and has a new prescription for naproxen tablets. Which of the following statements by the client requires further teaching? - I can take this medication with aspirin. *Avoid taking this med. with other NSAID bc they increase the risk for bleed and ulcer A nurse is teaching a client who has HIV about the early manifestations of AIDS. Which of the following statements should the nurse include in the teaching? - You can expect a persistent fever and swollen glands. *Clients who have aids can have persisten fever, swollen glands, diarrhea, weight loss, and fatigue. These manifestations indicate a onset of AIDS A nurse is providing discharge instructions to a client who is being treated for genital warts. Which of the following statements indicates that the client understands how to prevent transmission of the STI? - I will bring my sexual partner in for treatment A nurse is teaching a client who has genital herpes about self management. Which of the following instructions should the nurse include in the teaching? - Apply a warm compress to the lesions. *This will relieve discomfort. pt needs 3-4 sits baths. Avoid sexual activity when lesions are present. Use a mild soap and pat dry A nurse is assessing a client who has Kaposi’s sarcoma. Which of the following findings should the nurse expect? - Reddish-purple skin lesions. *It is associated w. AIDS A nurse is planning discharge teaching for a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse plan to include? - Monitor your body temp and report any elevations promptly. *SLE can affect any organ of the body. This can suggest a infection. UV light can cause a exacerbation. Nsaids help treat inflammation. A nurse is assessing a client who has systemic scleroderma. Which of the following findings should the nurse expect? - Finger contractures ATI MED SURG Immune and Infections Exam Questions & Answers Graded A 2024 *causes thickening, hardenings, and tightening of skin, blood vessels, and internal organs. They have decreased salvation. Ankle and pedal edema. A nurse is caring for a client who is concerned about the possibility of contracting Lyme disease after receiving a tick bite. For which manifestations of LYME disease should the nurse asses - A progressive, circular rash. A nurse is teaching a client who has Raynaud's disease. Which of the following info should the nurse include in the teaching? - Protect against the cold by wearing layers of clothing. A nurse is caring for a client who has HIV. "should i tell my partner that I have HIV? Which of the following statements should the nurse give? - It sounds like you are unsure what to say to your partner A nurse is caring for a client who has SLE. and is concerned about the skin lesions on her face and neck. The client asks "What should I do about these spots?" - Apply moisturizer after bathing the lesions with warm water. A nurse is providing discharge teaching to a client who has AIDS about preventing infection while at home. Which of the following instructions should the nurse include in the teaching? - Wash your genitalia using antimicrobial soap A nurse is teaching a client who has tested positive for an allergy to dust. The nurse determine that the client understands how to reduce her exposure to this allergen when she states the following? - I will apply a mattress cover to my bed A nurse is teaching a client who has raynauds disease about preventing the onset of manifestations. Which of the following statements by the client indicates an understanding of the teaching - I will not smoke A nurse is teaching a client who has TB about new prescription for rifampin. Which of the following satements by the client indicates an understanding of the teaching - I can expect this medication to turn my skin orange. *Needs to be taken on empty stomach A nurse is monitoring a newly licensed nurse who is caring for a client. The client has active pulmonary TB, was placed on airborne preacutions, and is scheduled for a chest x-ray. The nurse should instruct the newly licensed nurse to take which of the following actions? - Have client wear a surgical mask. *Nurse needs to wear a N95 A nurse is caring for a client who is 2 days postop. Which of the following findings should alert the nurse that the client is developing an infection? - Erythema at incision site. *it is common after surgery to run low grade fever. WBC should be between A nurse is reviewing the lab results for a client who reports bilateral pain and swelling in her finger joints, with stiggness in the morning. The nurse should recognize that an increase in which of the following laboratory tests can indicate arthrits? - Rheumatoid factor *reticulocyte indicates chronic blood loss. Coombs test increase can indicate antiboidies to RBCs A nurse is caring for a client who is experiencing an acute exacerbation of rheumatoid arthrits. The nurse should anticipate that the clients affected joints will require which of the following treatments? - Heat paraffin applied to the clients joints *They will not need assistive devices only if severe loss of ROM. do not massage. do not perform active ROM. A nurse is teaching a client who has HIV about how the virus is transmitted. Which of the following statements should the nurse include in the teaching? - HIV can be transmitted to anyone who has had contact w. infected blood. *there is no active or inactive phases A nurse is teaching a client about manifestations of an allergic reaction. The nurse should explain that histamine release causes which of the following reactions? - Increased mucus secretion *Client will expect bronchospasm and constriction, a rapid weak pulse, A nurse is providing discharge teaching to the partner of a client who has AIDS. Which of the following staements by the clients partner indicates the need for further teaching? - Ill clean up blood spills immediately w. hot water. *It needs to be cleaned w. bleach solution.Use a seperate bag to dispose soiled tissues. Wash clothes in hot water w. bleach A nurse is teaching a female client who has a new diagnosis of SLE. about factors that can trigger an exacerbation of SLE. The nurse should determine that the client needs more teaching when she identifies which of the following as a factor that can exacerbate SLE? - Exercise *Pregnancy, sunlight, and infection can exacerbate Systemic lupus erythematosus (SLE) - a chronic autoimmune disease that devlops when the immune system becomes hyperactive and attacks healthy body tissue. This attack results in generalized inflammation and manifestations w. specific involved tissues. A nurse is assessing a client who has an exacerbation of herpes zoster. Which of the following manifestations of the clients skin should the nurse expect? - Unilateral, localized, nodular skin lesions. *results from reactivation of varicella virus. Herpes - a fluid filled vesicular rash in genital region Impetigo - confluent, honey colored crusted lesions A nurse is preparing to administer a Mantoux skin test to a client. The nurse should inform the client that the purpose of a Mantoux skin test using purified protein derivative (PPD) is to do which of the following. - Identify if a client has been infected w. mycobacterium TB. A nurse is teaching a client who has AIDS about the transmission of Pneumocytis jiroveci pneumonia (PCP). Which of the following info should the nurse include in teaching? - PCP results from an impaired immune system A nurse is caring for a client who had radioallergosobernt (RAST) testing completed due to seasonal allergies. The nurse should anticipate an elevation in which of the following lab tests? - Immunoglobulin E (IgE) * iGg - Indicates production of antibodies to all types of infections, especially blood borne and tissue infections IgA - associated w. autoimmune disease IgM - associated w. bacterial of viral infection A nurse is caring for a client who has HIV. Which of the following types of isolation should the nurse implement to prevent HIV? - Standard precautions. * Protective isolation: - keeps client safe when immunocompromised Droplet precautions - VIA air droplets A nurse is providing to a client who has diagnosis of hep A. Which of the following statements by the client indicates and understanding of the teaching? - I should stop eating raw clams * transmitted through fecal-oral route through consumption of contaminated fruits, veggies, water, milk, or uncooked shell fish. A nurse is caring for a client who is 3 days post op following a right total hip arthroplasty. While transferring to a chair, the client cries out in pain. The nurse should assess the client for which of the following manifestations of dislocation of the hip porthesis? - Shortening of the right leg *other findings will be increased hip pain, inability to move the extremity, and rotation of the hip in or out. Impaired arterial circulation will have palor following elevation of the leg A nurse is caring fora client who had fiber glass cast placed on her left arm several hours ago and now reports itching under the cast. Which of the following actions should the nurse plan to take? - Use a hair dryer on a cool setting to blow air into the cast. A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse indetify as a risk factor for osteoporosis? - History of anorexia nervosa due to inadequate protein intake. A nurse is discussing the difference between rheumatoid arthritis (RA) and osteoarthritis w. a newly licensed nurse. Which of the following info should the nurse include about osteoarthritis? - Osteoarthritis can impair a joint on a single side of the body. *RA experiences symmetrical joint impairment and is a systemic autoimmune disorder. A nurse is discussing the plan of care w. a client who has osteomyelitis of an open wound on his heel. Which of the following info should nurse include? - Your provider might prescribe a central catheter line for long-term antibiotic therapy. A nurse is caring for a client immediately following application of a plaster cast. The nurse should monitor for and report which of the following findings as an indication of compartment syndrome? - Paresthesia of the extremity. A nurse is reviewing the medical record of a client who has a prescription for probenecid to treat gout. The nurse should identify that which of the following medications can interact w. probenecid? - Asprin A nurse is teaching a client who has a new prescription for alendronate for treatment of osteoporosis. Which of the following statements by the client indicates understanding of the teaching? - I will sit upright after takin the medication. A nurse is performing medication reconciliation for a newly admitted client who has rhematoid arthritis (RA). Which of the following medications should the nurse indetify as the treatment for this condition? - Celecoxib A nures is the ED is assessing a client who was in a motor vehicle crash 2 days ago and sustained fractures to his tibia, ulna, and several ribs. The client is now disoriented to time places, and has a SaO2 of 87%, and the nurse notes generalized petechiae on the clients skin. Which of the following complications should the nurse suspect? - Fat embolism syndrome *Fat globules occlude small blood vessels. A nurse is caring for a client who is in skeletal traction following a femur fracture. The nurse finds that the client has slid down toward the foot of the bed and the traction weight is resting on the floor. Which of the following actions should the nurse take? - Have the client use a trapeze to pull himself up while ensuring the weight hangs freely. *do not remove the weight w/o prescription. A nurse is caring for a client who had a below-the knee- amputation for gangrene of the right foot. The client reports sensations of burning and crushing pain in the toes of the right foot. Which of the following statements should the nurse make? - This type of pain usually decreases over time as the limb becomes less sensitive.