MEDICAL-SURGICAL , IMMUNE AND
INFECTIOUS QUESTIONS WITH
COMPLETE ANSWERS
A ddnurse ddis ddreinforcing ddteaching ddwith dda ddfemale ddclient ddwho ddhas dda ddnew
dddiagnosis ddof ddsystemic ddlupus dderythematosus dd(SLE) ddabout ddfactors ddthat ddcan
ddtrigger ddan ddexacerbation ddof ddSLE. ddThe ddnurse ddshould dddetermine ddthat ddthe
ddclient ddrequires ddfurther ddteaching ddwhen ddshe ddidentifies ddwhich ddof ddthe
ddfollowing ddas dda ddfactor ddthat ddcan ddexacerbate ddSLE? dd- ddAnswer ddExercise
SLE ddis dda ddchronic ddautoimmune dddisease ddthat dddevelops ddwhen ddthe ddimmune
ddsystem ddbecomes ddhyperactive ddand ddattacks ddhealthy ddbody ddtissue. dd
This ddattack ddresults ddin ddgeneralized ddinflammation ddand ddthe ddmanifestations
ddassociated ddwith ddthe ddspecific ddinvolved ddtissues. dd
Most ddclients ddwho ddhave ddSLE ddcan ddfollow ddan ddexercise ddprogram ddto ddincrease
ddthe ddaerobic ddcapacity ddof ddcells ddand ddimprove ddimmune ddfunction, ddand ddthe
ddclient ddshould dddevelop ddsuch dda ddprogram ddwith ddher ddprovider's ddassistance. dd
This ddclient ddneeds ddadditional ddteaching ddabout ddthe ddimportance ddof ddexercise ddto
ddkeep ddher ddmuscles ddand ddjoints ddactive. dd
Pregnancy ddcan ddexacerbate ddSLE dd
*Monitor ddfor ddrenal dd& ddcardio ddeffects dd
Infections: ddstrep ddor ddviral, ddstress ddbody dd& ddtrigger ddexacerbation ddof ddSLE dd
Pts ddwith ddSLE ddusually ddtake ddsteroids, dd^ ddtheir ddrisk ddfor ddinfection dd
Exposure ddto ddsunlight ddand ddartificial ddultraviolet ddlight ddis ddthe ddleading ddcause ddof
ddSLE ddexacerbations, ddespecially ddthe ddcharacteristic ddskin ddlesions ddand ddbutterfly
ddrash. dd
Clients ddshould dduse dda ddsunscreen ddwith dda ddhigh ddsolar ddprotection ddfactor
dd(SPF), ddand ddcover ddtheir ddskin ddwith ddappropriate ddclothing ddand ddhats ddwhen
ddthey ddmust ddbe ddexposed ddto ddsunlight.
, SLE dd(systemic ddlupus dderythematosus) dd- ddAnswer ddA ddchronic ddinflammatory
dddisease ddconsidered ddan ddautoimmune ddconnective dddisease ddthat ddeffects
ddmultiple ddsystems, ddsuch ddas ddthe ddskin, ddjoints, ddkidney, ddnervous ddand ddmucous
ddmembrane. dd
Maintenance ddof ddskin ddintegrity, ddfocusing ddon ddreduction ddof ddrashes ddand ddskin
ddlesions ddis dda ddprimary ddgoal ddduring ddacute ddexacerbation ddof ddSLE. dd
Symptoms: dd
*anemia, dd
*skin ddrashes, dd
*fever
*glomerulonephritis. dd
Tx:
ddnonsteroidal ddanti-inflammatory dddrugs ddcorticosteroids.
A ddnurse ddis ddreinforcing ddteaching ddwith dda ddclient ddwho ddhas dda dddiagnosis ddof
ddhepatitis ddA. ddWhich ddof ddthe ddfollowing ddstatements ddby ddthe ddclient ddindicates
ddan ddunderstanding ddof ddthe ddteaching? dd- ddAnswer ddI ddshould ddstop ddeating ddraw
ddclams
Hepatitis ddA ddis ddtransmitted ddvia ddthe ddfecal-oral ddroute ddthrough ddconsumption ddof
ddcontaminated ddfruits, ddvegetables, ddwater, ddmilk, ddor dduncooked ddshellfish.
ddIndividuals ddwho ddeat ddraw ddor ddsteamed ddshellfish ddare ddat ddincreased ddrisk ddfor
ddacquiring ddhepatitis ddA.
Hepatitis ddB ddcan ddbe ddtransmitted ddby ddshared ddneedles ddor ddunclean ddtattoo
ddequipment. ddHepatitis ddA ddis ddtransmitted ddthrough ddfecal ddcontamination ddor
ddcontaminated ddfood ddand ddwater. dd
Passive ddimmunity ddto ddhepatitis ddA ddcan ddbe ddconferred ddfor dd6 ddto dd7 ddweeks ddby
ddthe ddadministration ddof ddimmune ddserum ddglobulin ddduring ddthe ddincubation ddperiod
ddif ddthe ddtreatment ddis ddinstituted ddwithin dd2 ddweeks ddof ddexposure. ddA ddbooster
ddshot ddevery ddyear ddis ddnot ddrequired.
"I ddam ddunable ddto dddonate ddblood."
There ddis ddno dddanger ddof ddcontracting ddany ddform ddof ddhepatitis ddor ddany ddother
ddbloodborne ddpathogen ddfrom ddthe ddsterile, ddsingle-donor ddblood ddcollection
ddprocess ddused ddat ddblood ddbanks.
A ddnurse ddis ddreinforcing ddteaching ddwith ddan ddassistive ddpersonnel dd(AP) ddwho ddis
ddcaring ddfor dda ddclient ddwho ddhas ddactive ddpulmonary ddtuberculosis, ddwas ddplaced
ddon ddairborne ddprecautions, ddand ddis ddscheduled ddfor dda ddchest ddx-ray. ddWhich ddof
ddthe ddfollowing ddinstructions ddshould ddthe ddnurse ddinclude ddin ddthe ddteaching? dd-
ddAnswer ddHave ddthe ddclient ddwear ddsurgical ddmask
INFECTIOUS QUESTIONS WITH
COMPLETE ANSWERS
A ddnurse ddis ddreinforcing ddteaching ddwith dda ddfemale ddclient ddwho ddhas dda ddnew
dddiagnosis ddof ddsystemic ddlupus dderythematosus dd(SLE) ddabout ddfactors ddthat ddcan
ddtrigger ddan ddexacerbation ddof ddSLE. ddThe ddnurse ddshould dddetermine ddthat ddthe
ddclient ddrequires ddfurther ddteaching ddwhen ddshe ddidentifies ddwhich ddof ddthe
ddfollowing ddas dda ddfactor ddthat ddcan ddexacerbate ddSLE? dd- ddAnswer ddExercise
SLE ddis dda ddchronic ddautoimmune dddisease ddthat dddevelops ddwhen ddthe ddimmune
ddsystem ddbecomes ddhyperactive ddand ddattacks ddhealthy ddbody ddtissue. dd
This ddattack ddresults ddin ddgeneralized ddinflammation ddand ddthe ddmanifestations
ddassociated ddwith ddthe ddspecific ddinvolved ddtissues. dd
Most ddclients ddwho ddhave ddSLE ddcan ddfollow ddan ddexercise ddprogram ddto ddincrease
ddthe ddaerobic ddcapacity ddof ddcells ddand ddimprove ddimmune ddfunction, ddand ddthe
ddclient ddshould dddevelop ddsuch dda ddprogram ddwith ddher ddprovider's ddassistance. dd
This ddclient ddneeds ddadditional ddteaching ddabout ddthe ddimportance ddof ddexercise ddto
ddkeep ddher ddmuscles ddand ddjoints ddactive. dd
Pregnancy ddcan ddexacerbate ddSLE dd
*Monitor ddfor ddrenal dd& ddcardio ddeffects dd
Infections: ddstrep ddor ddviral, ddstress ddbody dd& ddtrigger ddexacerbation ddof ddSLE dd
Pts ddwith ddSLE ddusually ddtake ddsteroids, dd^ ddtheir ddrisk ddfor ddinfection dd
Exposure ddto ddsunlight ddand ddartificial ddultraviolet ddlight ddis ddthe ddleading ddcause ddof
ddSLE ddexacerbations, ddespecially ddthe ddcharacteristic ddskin ddlesions ddand ddbutterfly
ddrash. dd
Clients ddshould dduse dda ddsunscreen ddwith dda ddhigh ddsolar ddprotection ddfactor
dd(SPF), ddand ddcover ddtheir ddskin ddwith ddappropriate ddclothing ddand ddhats ddwhen
ddthey ddmust ddbe ddexposed ddto ddsunlight.
, SLE dd(systemic ddlupus dderythematosus) dd- ddAnswer ddA ddchronic ddinflammatory
dddisease ddconsidered ddan ddautoimmune ddconnective dddisease ddthat ddeffects
ddmultiple ddsystems, ddsuch ddas ddthe ddskin, ddjoints, ddkidney, ddnervous ddand ddmucous
ddmembrane. dd
Maintenance ddof ddskin ddintegrity, ddfocusing ddon ddreduction ddof ddrashes ddand ddskin
ddlesions ddis dda ddprimary ddgoal ddduring ddacute ddexacerbation ddof ddSLE. dd
Symptoms: dd
*anemia, dd
*skin ddrashes, dd
*fever
*glomerulonephritis. dd
Tx:
ddnonsteroidal ddanti-inflammatory dddrugs ddcorticosteroids.
A ddnurse ddis ddreinforcing ddteaching ddwith dda ddclient ddwho ddhas dda dddiagnosis ddof
ddhepatitis ddA. ddWhich ddof ddthe ddfollowing ddstatements ddby ddthe ddclient ddindicates
ddan ddunderstanding ddof ddthe ddteaching? dd- ddAnswer ddI ddshould ddstop ddeating ddraw
ddclams
Hepatitis ddA ddis ddtransmitted ddvia ddthe ddfecal-oral ddroute ddthrough ddconsumption ddof
ddcontaminated ddfruits, ddvegetables, ddwater, ddmilk, ddor dduncooked ddshellfish.
ddIndividuals ddwho ddeat ddraw ddor ddsteamed ddshellfish ddare ddat ddincreased ddrisk ddfor
ddacquiring ddhepatitis ddA.
Hepatitis ddB ddcan ddbe ddtransmitted ddby ddshared ddneedles ddor ddunclean ddtattoo
ddequipment. ddHepatitis ddA ddis ddtransmitted ddthrough ddfecal ddcontamination ddor
ddcontaminated ddfood ddand ddwater. dd
Passive ddimmunity ddto ddhepatitis ddA ddcan ddbe ddconferred ddfor dd6 ddto dd7 ddweeks ddby
ddthe ddadministration ddof ddimmune ddserum ddglobulin ddduring ddthe ddincubation ddperiod
ddif ddthe ddtreatment ddis ddinstituted ddwithin dd2 ddweeks ddof ddexposure. ddA ddbooster
ddshot ddevery ddyear ddis ddnot ddrequired.
"I ddam ddunable ddto dddonate ddblood."
There ddis ddno dddanger ddof ddcontracting ddany ddform ddof ddhepatitis ddor ddany ddother
ddbloodborne ddpathogen ddfrom ddthe ddsterile, ddsingle-donor ddblood ddcollection
ddprocess ddused ddat ddblood ddbanks.
A ddnurse ddis ddreinforcing ddteaching ddwith ddan ddassistive ddpersonnel dd(AP) ddwho ddis
ddcaring ddfor dda ddclient ddwho ddhas ddactive ddpulmonary ddtuberculosis, ddwas ddplaced
ddon ddairborne ddprecautions, ddand ddis ddscheduled ddfor dda ddchest ddx-ray. ddWhich ddof
ddthe ddfollowing ddinstructions ddshould ddthe ddnurse ddinclude ddin ddthe ddteaching? dd-
ddAnswer ddHave ddthe ddclient ddwear ddsurgical ddmask
