PRACTICE SCENARIOS ANSWERS
◉ The nurse is conducting a teaching session with a client on their
diagnosis of pemphigus. Which statement by the client indicates that
the client understands the diagnosis?
1.
"My skin will have tiny red vesicles."
2.
"The presence of the skin vesicles is caused by a virus."
3.
"I have an autoimmune disease that causes blistering in the
epidermis."
4.
"The presence of red, raised papules and large plaques covered by
silvery scales will be present on my skin.". Answer: 3.
"I have an autoimmune disease that causes blistering in the
epidermis."
,◉ 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
3.
Encouraging discussion about lifestyle changes
4.
Identifying factors that decreased the immune function. Answer: 1.
Protecting the client from infection
◉ A client calls the nurse in the emergency department and states
that he was just stung by a bumblebee while gardening. The client is
afraid of a severe reaction because the client's neighbor experienced
such a reaction just 1 week ago. Which action should the nurse take?
,1.
Advise the client to soak the site in hydrogen peroxide.
2.
Ask the client if he ever sustained a bee sting in the past.
3.
Tell the client to call an ambulance for transport to the emergency
department.
4.
Tell the client not to worry about the sting unless difficulty with
breathing occurs.. Answer: 2.
Ask the client if he ever sustained a bee sting in the past.
◉ The community health nurse is conducting a research study and is
identifying clients in the community at risk for latex allergy. Which
client population is most at risk for developing this type of allergy?
1.
Hairdressers
2.
, The homeless
3.
Children in day care centers
4.
Individuals living in a group home. Answer: 1.
Hairdressers
◉ Which interventions apply in the care of a client at high risk for an
allergic response to a latex allergy? Select all that apply.
1.
Use nonlatex gloves.
2.
Use medications from glass ampules.
3.
Place the client in a private room only.
4.