1
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NR 464 - Exam 3 (Saunders) Newest
2025/2026 Complete Questions and
Answers (100% Correct Answers) Already
Graded A+
The nurse provides home care instructions to a client with systemic
lupus erythematosus and tells the client about methods to
manage fatigue. Which statement by the client indicates a need
for further instruction?
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1. "I should take hot baths because they are relaxing."
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2. "I should sit whenever possible to conserve my energy."
3. "I should avoid long periods of rest because it causes joint
stiffness."
4. "I should do some exercises, such as walking, when I am not
fatigued." [ ANS: ] 1. "I should take hot baths because they are
relaxing."
To help reduce fatigue in the client with systemic lupus
erythematosus, the nurse should instruct the client to sit whenever
possible, avoid hot baths (because they exacerbate fatigue),
schedule moderate low-impact exercises when not fatigued, and
maintain a balanced diet. The client is instructed to avoid long
periods of rest because it promotes joint stiffness.
, 2
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The nurse is assisting in planning care for a client with a diagnosis
of immunodeficiency and should incorporate which action as a
priority in the plan?
1. Protecting the client from infection
2. Providing emotional support to decrease fear
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3. Encouraging discussion about lifestyle changes
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4. Identifying factors that decreased the immune function [ ANS: ]
1. Protecting the client from infection
The client with acquired immunodeficiency syndrome is
diagnosed with cutaneous Kaposi's sarcoma. Based on this
diagnosis, the nurse understands that this has been confirmed by
which finding?
1. Swelling in the genital area
2. Swelling in the lower extremities
3. Positive punch biopsy of the cutaneous lesions
4. Appearance of reddish-blue lesions noted on the skin [ ANS: ] 3.
Positive punch biopsy of the cutaneous lesions
, 3
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Kaposi's sarcoma lesions begin as red, dark blue, or purple
macules on the lower legs that change into plaques. These large
plaques ulcerate or open and drain. The lesions spread by
metastasis through the upper body and then to the face and oral
mucosa. They can move to the lymphatic system, lungs, and
gastrointestinal tract. Late disease results in swelling and pain in
the lower extremities, penis, scrotum, or face. Diagnosis is made by
punch biopsy of cutaneous lesions and biopsy of pulmonary and
gastrointestinal lesions.
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The home care nurse is preparing to visit a client who has
undergone renal transplantation. The nurse develops a plan of
care that includes monitoring the client for signs of acute graft
rejection. The nurse documents in the plan to assess the client for
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which signs of acute graft rejection?
1. Fever, hypotension, and polyuria
2. Hypertension, polyuria, and thirst
3. Fever, hypertension, and graft tenderness
4. Hypotension, graft tenderness, and hypothermia [ ANS: ] 3.
Fever, hypertension, and graft tenderness
A client with acquired immunodeficiency syndrome (AIDS) has
been started on therapy with zidovudine. The nurse should monitor
the results of which laboratory blood study for adverse effects of
therapy?
, 4
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1. Creatinine level
2. Potassium concentration
3. Complete blood cell (CBC) count
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4. Blood urea nitrogen (BUN) level [ ANS: ] 3. Complete blood cell
(CBC) count
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Acquired immunodeficiency syndrome is a viral disease caused
by the human immunodeficiency virus (HIV), which destroys T cells,
thereby increasing susceptibility to infection and malignancy.
Common adverse effects of zidovudine are agranulocytopenia
and anemia. The nurse should monitor the CBC count for these
changes. Creatinine, potassium, and BUN are unrelated to this
medication.
The nurse is performing an assessment on a female client who
complains of fatigue, weakness, muscle and joint pain, anorexia,
and photosensitivity. Systemic lupus erythematosus (SLE) is
suspected. What should the nurse further assess for that also is
indicative of SLE?
1. Ascites
2. Emboli
For Expert help and assignment solutions, +254707240657
NR 464 - Exam 3 (Saunders) Newest
2025/2026 Complete Questions and
Answers (100% Correct Answers) Already
Graded A+
The nurse provides home care instructions to a client with systemic
lupus erythematosus and tells the client about methods to
manage fatigue. Which statement by the client indicates a need
for further instruction?
© 2025 Assignment Expert
1. "I should take hot baths because they are relaxing."
Guru01 - Stuvia
2. "I should sit whenever possible to conserve my energy."
3. "I should avoid long periods of rest because it causes joint
stiffness."
4. "I should do some exercises, such as walking, when I am not
fatigued." [ ANS: ] 1. "I should take hot baths because they are
relaxing."
To help reduce fatigue in the client with systemic lupus
erythematosus, the nurse should instruct the client to sit whenever
possible, avoid hot baths (because they exacerbate fatigue),
schedule moderate low-impact exercises when not fatigued, and
maintain a balanced diet. The client is instructed to avoid long
periods of rest because it promotes joint stiffness.
, 2
For Expert help and assignment solutions, +254707240657
The nurse is assisting in planning care for a client with a diagnosis
of immunodeficiency and should incorporate which action as a
priority in the plan?
1. Protecting the client from infection
2. Providing emotional support to decrease fear
© 2025 Assignment Expert
3. Encouraging discussion about lifestyle changes
Guru01 - Stuvia
4. Identifying factors that decreased the immune function [ ANS: ]
1. Protecting the client from infection
The client with acquired immunodeficiency syndrome is
diagnosed with cutaneous Kaposi's sarcoma. Based on this
diagnosis, the nurse understands that this has been confirmed by
which finding?
1. Swelling in the genital area
2. Swelling in the lower extremities
3. Positive punch biopsy of the cutaneous lesions
4. Appearance of reddish-blue lesions noted on the skin [ ANS: ] 3.
Positive punch biopsy of the cutaneous lesions
, 3
For Expert help and assignment solutions, +254707240657
Kaposi's sarcoma lesions begin as red, dark blue, or purple
macules on the lower legs that change into plaques. These large
plaques ulcerate or open and drain. The lesions spread by
metastasis through the upper body and then to the face and oral
mucosa. They can move to the lymphatic system, lungs, and
gastrointestinal tract. Late disease results in swelling and pain in
the lower extremities, penis, scrotum, or face. Diagnosis is made by
punch biopsy of cutaneous lesions and biopsy of pulmonary and
gastrointestinal lesions.
© 2025 Assignment Expert
The home care nurse is preparing to visit a client who has
undergone renal transplantation. The nurse develops a plan of
care that includes monitoring the client for signs of acute graft
rejection. The nurse documents in the plan to assess the client for
Guru01 - Stuvia
which signs of acute graft rejection?
1. Fever, hypotension, and polyuria
2. Hypertension, polyuria, and thirst
3. Fever, hypertension, and graft tenderness
4. Hypotension, graft tenderness, and hypothermia [ ANS: ] 3.
Fever, hypertension, and graft tenderness
A client with acquired immunodeficiency syndrome (AIDS) has
been started on therapy with zidovudine. The nurse should monitor
the results of which laboratory blood study for adverse effects of
therapy?
, 4
For Expert help and assignment solutions, +254707240657
1. Creatinine level
2. Potassium concentration
3. Complete blood cell (CBC) count
© 2025 Assignment Expert
4. Blood urea nitrogen (BUN) level [ ANS: ] 3. Complete blood cell
(CBC) count
Guru01 - Stuvia
Acquired immunodeficiency syndrome is a viral disease caused
by the human immunodeficiency virus (HIV), which destroys T cells,
thereby increasing susceptibility to infection and malignancy.
Common adverse effects of zidovudine are agranulocytopenia
and anemia. The nurse should monitor the CBC count for these
changes. Creatinine, potassium, and BUN are unrelated to this
medication.
The nurse is performing an assessment on a female client who
complains of fatigue, weakness, muscle and joint pain, anorexia,
and photosensitivity. Systemic lupus erythematosus (SLE) is
suspected. What should the nurse further assess for that also is
indicative of SLE?
1. Ascites
2. Emboli
