MEDSURGE QUIZ 40 ALL ME DSURGE QUIZES 2022.//9780323595155

MEDSURGE QUIZ 1 36 37 38 39 40 ALL ME P P P P P P P P P




DSURGE QUIZES 2022.. P P




20. The nurse educator is differentiating primary immunodeficiency diseases
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from secondary immunodeficiencies. What is the defining characteristic of
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primary
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immunodeficiency diseases? P



a. They have a genetic origin
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21. The nurse is caring for a patient with an immunodeficiency who has
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,experienced sudden malaise. The nurse's colleague states, iI'm pretty sure that
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it's
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not an infection, because the most recent blood work looks fine.i What principle
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should guide the nurse's response to the colleague?
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a. Immunodeficient patients will usually exhibit subtle and atypical
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signs of infection
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22. A patient with a diagnosis of primary immunodeficiency informs the nurse
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that he has been experiencing a new onset of a dry cough and occasional
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shortness of breath. After determining that the patient's vital signs are within
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reference ranges, what action should the nurse take?
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a. Assess the patient for signs and symptoms of infection
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23. A nurse is preparing to administer a scheduled dose of IVIG to a patient
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who
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has a diagnosis of severe combined immunodeficiency disease (SCID). What
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medication should the nurse administer prior to initiating the infusion?
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a. Diphenhydramine
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24. An immunocompromised patient is being treated in the hospital. The nurse's
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assessment reveals that the patient's submandibular lymph nodes are swollen, a
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finding that represents a change from the previous day. What is the nurse's
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most
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appropriate action? P



a. Inform the patient's primary care provider of this finding
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25. A nurse caring for a patient who has an immunosuppressive disorder knows
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that continual monitoring of the patient is critical. What is the primary rationale
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behind the need for continual monitoring?
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a. So that early signs of impending infection can be detected and
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treated

,26. A nurse is planning the care of a patient who requires immunosuppression
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to
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ensure engraftment of depleted bone marrow during a transplantation
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procedure.
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What is the most important component of infection control in the care of this
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patient?
a. Thorough and consistent hand hygiene
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27. A home health nurse is caring for a patient who has an immunodeficiency.
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What is the nurse's priority action to help ensure successful outcomes and a
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favorable prognosis? P



a. Encourage the patient and family to be active partners in the
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management of theimmunodeficiency P P



28. A nurse is preparing to discharge a patient with an immunodeficiency.
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When
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preparing the patient for self-infusion of IVIG in the home setting, what
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education
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should the nurse prioritize?P P P



a. Signs and symptoms of adverse reactions
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29. A home health nurse will soon begin administering IVIG to a new patient
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on a
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regular basis. What teaching should the nurse provide to the patient?
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a. Expected benefits and outcomes of the treatment
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30. The home health nurse is assessing a patient who is immunosuppressed
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following a liver transplant. What is the most essential teaching for this patient
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and
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the family?
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a. The need to report any slight changes in the patient's health status
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, 31. Family members of an immunocompromised patient have asked the nurse
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why antibiotics are not being given to the patient in order to prevent infection.
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How
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should the nurse best respond? P P P P



a. Using antibiotics to prevent infections can cause the growth of
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drug-resistant bacteria P



32. A
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agammaglobulinemia
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and the parents do not understand why their baby did not develop an infection
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during the first months of life. The nurse should describe what phenomenon?
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a. Passive acquired immunity
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CHP 37 P



1. A clinic nurse is caring for a patient admitted with AIDS. The nurse has
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assessed
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that the patient is experiencing a progressive decline in cognitive, behavioral,
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and
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motor functions. The nurse recognizes that these symptoms are most likely
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related
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to the onset of what complication?
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a. HIV encephalopathy
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2. A nurse is assessing a 28-year-old man with HIV who has been admitted with
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pneumonia. In assessing the patient, which of the following observations takes
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immediate priority? P



a. Tachypnea and restlessness
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3. A patient has come into the free clinic asking to be tested for HIV infection.
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The
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patient asks the nurse how the test works. The nurse responds that if the testing
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