NUR 265 Exam 4 UPDATED ACTUAL
Questions and CORRECT Answers
For Mikael who is diagnosed of having allergic rhinitis, which nursing intervention is the most
appropriate? - CORRECT ANSWER 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.) - CORRECT
ANSWER 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? -
CORRECT ANSWER 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? - CORRECT ANSWER "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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER Joint edema and tendernesS
April is diagnosed with systemic lupus erythematosus. Which instruction would be included in
the teaching plan for the client? - CORRECT ANSWER "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? - CORRECT ANSWER 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? - CORRECT
ANSWER 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? - CORRECT
ANSWER 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? - CORRECT ANSWER Deficient fluid volume related
to diarrhea and abnormal fluid loss
Questions and CORRECT Answers
For Mikael who is diagnosed of having allergic rhinitis, which nursing intervention is the most
appropriate? - CORRECT ANSWER 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.) - CORRECT
ANSWER 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? -
CORRECT ANSWER 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? - CORRECT ANSWER "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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER 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? - CORRECT ANSWER Joint edema and tendernesS
April is diagnosed with systemic lupus erythematosus. Which instruction would be included in
the teaching plan for the client? - CORRECT ANSWER "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? - CORRECT ANSWER 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? - CORRECT
ANSWER 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? - CORRECT
ANSWER 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? - CORRECT ANSWER Deficient fluid volume related
to diarrhea and abnormal fluid loss
