NUR257 EXAM 1 QUESTIONS AND
ANSWERS
Asqpediatricsqclientsqissqrecoveringsqfromsqansqanaphylacticsqreactionsqtosqansqall
ergen.sqInsqthesqfirstsqassessment,sqthesqclientsqpresentssqwithsqasqperiorbitalsqa
ccumulationsqofsqblood,sqasqcommonsqoccurrencesqinsqchildren.sqWhatsqtypesqofs
qallergicsqreactionsqpresentssq"allergicsqshiners"?
typesqII
typesqI
typesqIV
typesqIIIsq-sqans-typesqI
ThesqnursesqreviewssqlaboratorysqresultssqrequestedsqtosqtracksqHIV.sqWhatsqlab
oratorysqtestsqmeasuressqHIVsqRNAsqlevelssqandsqissqthesqbestsqpredictorsqofsq
HIVsqdiseasesqprogression?
Enzymesqimmunoassaysq(EIA)
CD4/CD8
Westernsqblot
Viralsqloadsq-sqans-Viralsqload
CryptococcussqmeningitissqissqsuspectedsqinsqasqclientsqwithsqHIV.sqWhichsqmani
festationssqwouldsqbesqconsistentsqwithsqcryptococcussqmeningitis?
sqSelectsqallsqthatsqapply.
Hyperreflexia
Psychomotorsqslowing
Vacantsqstare
Stiffsqneck
Seizuressq-sqans-Stiffsqneck
Seizures
AsqclientsqwithsqAIDSsqdevelopssqpneumocystissqpneumonia.sqThesqnursesqwould
sqmostsqlikelysqexpectsqtosqincludesqadministrationsqofsqwhichsqagentsqinsqthesqc
lient'ssqplansqofsqcare?
Azithromycin
Aerosolizedsqpentamidine
TMP-SMZ
Clindamycinsq-sqans-TMP-SMZ
Asqclientsqissqdiagnosedsqwithsqpneumocystissqpneumoniasq(PCP).sqWhatsqmedic
ationsqdoessqthesqnursesqanticipatesqeducatingsqthesqclientsqaboutsqforsqtreatmen
t?
Azithromycin
TMP-SMZ
Cephalexin
,Garamycinsq-sqans-TMP-SMZ
Asqclientsqcomessqtosqthesqclinicsqtosqseesqthesqphysician,sqreporting,sq"Isqthinks
qIsqatesqsomethingsqthatsqIsqamsqallergicsqto."sqWhatsqsymptomssqwouldsqbesqa
ppropriatesqforsqthesqnursesqtosqasksqquestionssqabout?
Nasalsqcongestionsqandsqcoughing
Hivessqandsqitching
Sneezingsqandsqrunnysqnose
Diarrheasqandsqabdominalsqcrampingsq-sqans-
Diarrheasqandsqabdominalsqcramping
Asqnursesqissqpreparingsqtosqadministersqansqantiretroviralsqmedicationsqtosqasqcli
entsqwhosqissqpositivesqforsqHIV.sqThesqnursesqidentifiessqthesqdrugsqassqasqnu
cleosidesqreversesqtranscriptasesqinhibitorsq(NRTI).sqWhatsqdrugsqwillsqthesqnurse
sqadminister?
Lamivudine
Etravirine
Delavirdine
Nevirapinesq-sqans-Lamivudine
ThesqnursesqissqteachingsqasqclientsqwithsqHIVsqhowsqtosqusesqasqmalesqcondo
m.sqThesqclientsqdemonstratessqunderstandingsqofsqthesqinformationsqwhensqhesq
makessqwhichsqstatements?sqSelectsqallsqthatsqapply.
"Isqcansqkeepsqseveralsqcondomssqinsqmysqwalletsqinsqmysqbacksqtrousersqpock
etsqsosqtheysqaresqreadilysqavailable."
"Isqshouldsqavoidsqusingsqbabysqoilsqorsqpetroleumsqjellysqwithsqasqcondom."
"Isqneedsqtosqholdsqthesqcondomsqbysqthesqtipsqtosqsqueezesqoutsqthesqairsqbef
oresqputtingsqitsqon."
"IsqcansqreusesqasqcondomsqtwosqorsqthreesqtimessqwhensqI'msqhavingsqsexuals
qintercourse."
"Isqshouldsqunrollsqthesqcondomsqallsqthesqwaysqoversqmysqerectsqpenis."sq-
sqans-"Isqneedsqtosqholdsqthesqcondomsqbysqthesqtipsqtosqsqueezesqoutsqthesqai
rsqbeforesqputtingsqitsqon."
"Isqshouldsqunrollsqthesqcondomsqallsqthesqwaysqoversqmysqerectsqpenis."
Isqshouldsqavoidsqusingsqbabysqoilsqorsqpetroleumsqjellysqwithsqasqcondom."
Asqnursesqissqcaringsqforsqasqclientsqwithsqhumansqimmunodeficiencysqvirussq(HI
V).sqWhatsqwouldsqthesqnursesqexpectsqthesqhealthsqcaresqprovidersqtosqordersqt
osqdeterminesqthesqeffectivenesssqofsqtreatment?
ELISAsqwithsqWesternsqblotsqtest
enzyme-linkedsqimmunosorbentsqassaysq(ELISA)
E-rosettesqimmunofluorescence
quantificationsqofsqT-lymphocytessq-sqans-quantificationsqofsqT-lymphocytes
,Thesqnursesqissqpreparingsqtosqadministersqthesqrecommendedsqdosesqofsqintrave
noussqgamma-globulinsqforsqasq60-
kgsqmalesqclient.sqHowsqmanysqgramssqwillsqthesqnursesqadminister?
30sqg
90sqg
15sqg
60sqgsq-sqans-30sqg
Asqclientsqreceivedsq2squnitssqofsqpackedsqredsqbloodsqcellssqwhilesqinsqthesqho
spitalsqwithsqrectalsqbleeding.sqThreesqdayssqaftersqdischarge,sqthesqclientsqexperi
encedsqansqallergicsqresponsesqandsqbegansqtosqitchsqandsqbreaksqoutsqwithsqhi
ves.sqWhatsqtypesqofsqreactionsqdoessqthesqnursesqunderstandsqcouldsqbesqoccu
rring?
Anaphylacticsqreaction
Delayedsqhypersensitivitysqresponse
Sensitization
Ansqimmediatesqhypersensitivitysqresponsesq-sqans-
Delayedsqhypersensitivitysqresponse
Thesqnurse'ssqplansqofsqcaresqforsqasqclientsqwithsqstagesq3sqHIVsqaddressessqt
hesqdiagnosissqofsqRisksqforsqImpairedsqSkinsqIntegritysqRelatedsqtosqcandidiasis.
sqWhatsqnursingsqinterventionsqbestsqaddressessqthissqrisk?
Applyingsqskinsqemollientssqassqneeded
Providingsqthoroughsqoralsqcaresqbeforesqandsqaftersqmeals
Administeringsqprophylacticsqantibiotics
Promotingsqnutritionsqandsqadequatesqfluidsqintakesq-sqans-
Providingsqthoroughsqoralsqcaresqbeforesqandsqaftersqmeals
Asqtreatmentsqoptionsqforsqseveresqcombinedsqimmunesqdeficiencysq(SCID)sqinclu
des
IVsqimmunoglobulin.
chemotherapy.
vitaminsqDsqsupplements.
asqstemsqcellsqtransplant.sq-sqans-asqstemsqcellsqtransplant
WhichsqtermsqdefinessqthesqbalancesqbetweensqthesqamountsqofsqHIVsqinsqthesq
bodysqandsqthesqimmunesqresponse?
Viralsqclearancesqrate
Windowsqperiod
Primarysqinfectionsqstage
Viralsqsetsqpointsq-sqans-Viralsqsetsqpoint
AsqclientsqwithsqAIDSsqhassqbeensqtestedsqforsqcytomegalovirussq(CMV)sqwithsqp
ositivesqtiters.sqWhatsqseveresqcomplicationsqshouldsqthesqnursesqbesqalertsqforsq
withsqcytomegalovirus?
fatigue
, blindness
hearingsqimpairment
diarrheasq-sqans-blindness
Whichsqofsqthesqfollowingsqissqasqlacksqofsqonesqorsqmoresqofsqthesqfivesqimmu
noglobulins?
Agammaglobulinemia
Panhypoglobulinemia
Telangiectasia
Hypogammaglobulinemiasq-sqans-Hypogammaglobulinemia
Asqpatientsqwithsqcommonsqvariablesqimmunodeficiencysq(CVID)sqissqextremelysqf
atiguedsqandsqnotsqfeelingsqwell.sqWhatsqlabsqtestsqdoessqthesqnursesqanticipate
sqthesqpatientsqwillsqhavesqtosqdetectsqasqcommonsqdevelopmentsqrelatedsqtosqt
hesqdisease?
B12sqlevel
Glucosesqlevel
Bloodsqureasqnitrogensq(BUN)sqandsqcreatinine
Aspartatesqaminotransferasesq(AST)sqandsqalaninesqaminotransferasesq(ALT)sq-
sqans-B12sqlevel
Thesqnursesqissqpreparingsqtosqinfusesqgamma-
globulinsqintravenouslysq(IV).sqWhensqadministeringsqthissqdrug,sqthesqnursesqkno
wssqthesqspeedsqofsqthesqinfusionsqshouldsqnotsqexceedsqwhatsqrate?
3sqmL/min
10sqmL/min
6sqmL/min
1.5sqmL/minsq-sqans-3sqmL/min
Asqclientsqissqsuspectedsqofsqhavingsqansqimmunesqsystemsqdisorder.sqThesqhea
lthsqcaresqprovidersqwantssqtosqperformsqasqdiagnosticsqtestsqtosqconfirmsqthesqd
iagnosis.sqWhatsqtestsqshouldsqthesqnursesqpreparesqthesqclientsqfor?
Completesqchemistrysqpanel
T-andsqC-cellsqassays
Plasmapheresis
Enzyme-linkedsqimmunosorbentsqassaysq-sqans-Enzyme-
linkedsqimmunosorbentsqassay
Thesqnursesqissqcaringsqforsqasqclientsqwithsqansqautoimmunesqdisease.sqWhatsq
issqasqcharacteristicsqofsqautoimmunesqdisorders?
Affectssqonlysqoldersqadultssqandsqinfantssqlesssqthansq3sqmonths
Profoundsqfatiguesqwithsqnosqidentifiablesqcause
Progressivesqtissuesqdamagesqwithoutsqanysqverifiablesqetiology
Absencesqofsqasqtriggeringsqeventsq-sqans-
Progressivesqtissuesqdamagesqwithoutsqanysqverifiablesqetiology
ANSWERS
Asqpediatricsqclientsqissqrecoveringsqfromsqansqanaphylacticsqreactionsqtosqansqall
ergen.sqInsqthesqfirstsqassessment,sqthesqclientsqpresentssqwithsqasqperiorbitalsqa
ccumulationsqofsqblood,sqasqcommonsqoccurrencesqinsqchildren.sqWhatsqtypesqofs
qallergicsqreactionsqpresentssq"allergicsqshiners"?
typesqII
typesqI
typesqIV
typesqIIIsq-sqans-typesqI
ThesqnursesqreviewssqlaboratorysqresultssqrequestedsqtosqtracksqHIV.sqWhatsqlab
oratorysqtestsqmeasuressqHIVsqRNAsqlevelssqandsqissqthesqbestsqpredictorsqofsq
HIVsqdiseasesqprogression?
Enzymesqimmunoassaysq(EIA)
CD4/CD8
Westernsqblot
Viralsqloadsq-sqans-Viralsqload
CryptococcussqmeningitissqissqsuspectedsqinsqasqclientsqwithsqHIV.sqWhichsqmani
festationssqwouldsqbesqconsistentsqwithsqcryptococcussqmeningitis?
sqSelectsqallsqthatsqapply.
Hyperreflexia
Psychomotorsqslowing
Vacantsqstare
Stiffsqneck
Seizuressq-sqans-Stiffsqneck
Seizures
AsqclientsqwithsqAIDSsqdevelopssqpneumocystissqpneumonia.sqThesqnursesqwould
sqmostsqlikelysqexpectsqtosqincludesqadministrationsqofsqwhichsqagentsqinsqthesqc
lient'ssqplansqofsqcare?
Azithromycin
Aerosolizedsqpentamidine
TMP-SMZ
Clindamycinsq-sqans-TMP-SMZ
Asqclientsqissqdiagnosedsqwithsqpneumocystissqpneumoniasq(PCP).sqWhatsqmedic
ationsqdoessqthesqnursesqanticipatesqeducatingsqthesqclientsqaboutsqforsqtreatmen
t?
Azithromycin
TMP-SMZ
Cephalexin
,Garamycinsq-sqans-TMP-SMZ
Asqclientsqcomessqtosqthesqclinicsqtosqseesqthesqphysician,sqreporting,sq"Isqthinks
qIsqatesqsomethingsqthatsqIsqamsqallergicsqto."sqWhatsqsymptomssqwouldsqbesqa
ppropriatesqforsqthesqnursesqtosqasksqquestionssqabout?
Nasalsqcongestionsqandsqcoughing
Hivessqandsqitching
Sneezingsqandsqrunnysqnose
Diarrheasqandsqabdominalsqcrampingsq-sqans-
Diarrheasqandsqabdominalsqcramping
Asqnursesqissqpreparingsqtosqadministersqansqantiretroviralsqmedicationsqtosqasqcli
entsqwhosqissqpositivesqforsqHIV.sqThesqnursesqidentifiessqthesqdrugsqassqasqnu
cleosidesqreversesqtranscriptasesqinhibitorsq(NRTI).sqWhatsqdrugsqwillsqthesqnurse
sqadminister?
Lamivudine
Etravirine
Delavirdine
Nevirapinesq-sqans-Lamivudine
ThesqnursesqissqteachingsqasqclientsqwithsqHIVsqhowsqtosqusesqasqmalesqcondo
m.sqThesqclientsqdemonstratessqunderstandingsqofsqthesqinformationsqwhensqhesq
makessqwhichsqstatements?sqSelectsqallsqthatsqapply.
"Isqcansqkeepsqseveralsqcondomssqinsqmysqwalletsqinsqmysqbacksqtrousersqpock
etsqsosqtheysqaresqreadilysqavailable."
"Isqshouldsqavoidsqusingsqbabysqoilsqorsqpetroleumsqjellysqwithsqasqcondom."
"Isqneedsqtosqholdsqthesqcondomsqbysqthesqtipsqtosqsqueezesqoutsqthesqairsqbef
oresqputtingsqitsqon."
"IsqcansqreusesqasqcondomsqtwosqorsqthreesqtimessqwhensqI'msqhavingsqsexuals
qintercourse."
"Isqshouldsqunrollsqthesqcondomsqallsqthesqwaysqoversqmysqerectsqpenis."sq-
sqans-"Isqneedsqtosqholdsqthesqcondomsqbysqthesqtipsqtosqsqueezesqoutsqthesqai
rsqbeforesqputtingsqitsqon."
"Isqshouldsqunrollsqthesqcondomsqallsqthesqwaysqoversqmysqerectsqpenis."
Isqshouldsqavoidsqusingsqbabysqoilsqorsqpetroleumsqjellysqwithsqasqcondom."
Asqnursesqissqcaringsqforsqasqclientsqwithsqhumansqimmunodeficiencysqvirussq(HI
V).sqWhatsqwouldsqthesqnursesqexpectsqthesqhealthsqcaresqprovidersqtosqordersqt
osqdeterminesqthesqeffectivenesssqofsqtreatment?
ELISAsqwithsqWesternsqblotsqtest
enzyme-linkedsqimmunosorbentsqassaysq(ELISA)
E-rosettesqimmunofluorescence
quantificationsqofsqT-lymphocytessq-sqans-quantificationsqofsqT-lymphocytes
,Thesqnursesqissqpreparingsqtosqadministersqthesqrecommendedsqdosesqofsqintrave
noussqgamma-globulinsqforsqasq60-
kgsqmalesqclient.sqHowsqmanysqgramssqwillsqthesqnursesqadminister?
30sqg
90sqg
15sqg
60sqgsq-sqans-30sqg
Asqclientsqreceivedsq2squnitssqofsqpackedsqredsqbloodsqcellssqwhilesqinsqthesqho
spitalsqwithsqrectalsqbleeding.sqThreesqdayssqaftersqdischarge,sqthesqclientsqexperi
encedsqansqallergicsqresponsesqandsqbegansqtosqitchsqandsqbreaksqoutsqwithsqhi
ves.sqWhatsqtypesqofsqreactionsqdoessqthesqnursesqunderstandsqcouldsqbesqoccu
rring?
Anaphylacticsqreaction
Delayedsqhypersensitivitysqresponse
Sensitization
Ansqimmediatesqhypersensitivitysqresponsesq-sqans-
Delayedsqhypersensitivitysqresponse
Thesqnurse'ssqplansqofsqcaresqforsqasqclientsqwithsqstagesq3sqHIVsqaddressessqt
hesqdiagnosissqofsqRisksqforsqImpairedsqSkinsqIntegritysqRelatedsqtosqcandidiasis.
sqWhatsqnursingsqinterventionsqbestsqaddressessqthissqrisk?
Applyingsqskinsqemollientssqassqneeded
Providingsqthoroughsqoralsqcaresqbeforesqandsqaftersqmeals
Administeringsqprophylacticsqantibiotics
Promotingsqnutritionsqandsqadequatesqfluidsqintakesq-sqans-
Providingsqthoroughsqoralsqcaresqbeforesqandsqaftersqmeals
Asqtreatmentsqoptionsqforsqseveresqcombinedsqimmunesqdeficiencysq(SCID)sqinclu
des
IVsqimmunoglobulin.
chemotherapy.
vitaminsqDsqsupplements.
asqstemsqcellsqtransplant.sq-sqans-asqstemsqcellsqtransplant
WhichsqtermsqdefinessqthesqbalancesqbetweensqthesqamountsqofsqHIVsqinsqthesq
bodysqandsqthesqimmunesqresponse?
Viralsqclearancesqrate
Windowsqperiod
Primarysqinfectionsqstage
Viralsqsetsqpointsq-sqans-Viralsqsetsqpoint
AsqclientsqwithsqAIDSsqhassqbeensqtestedsqforsqcytomegalovirussq(CMV)sqwithsqp
ositivesqtiters.sqWhatsqseveresqcomplicationsqshouldsqthesqnursesqbesqalertsqforsq
withsqcytomegalovirus?
fatigue
, blindness
hearingsqimpairment
diarrheasq-sqans-blindness
Whichsqofsqthesqfollowingsqissqasqlacksqofsqonesqorsqmoresqofsqthesqfivesqimmu
noglobulins?
Agammaglobulinemia
Panhypoglobulinemia
Telangiectasia
Hypogammaglobulinemiasq-sqans-Hypogammaglobulinemia
Asqpatientsqwithsqcommonsqvariablesqimmunodeficiencysq(CVID)sqissqextremelysqf
atiguedsqandsqnotsqfeelingsqwell.sqWhatsqlabsqtestsqdoessqthesqnursesqanticipate
sqthesqpatientsqwillsqhavesqtosqdetectsqasqcommonsqdevelopmentsqrelatedsqtosqt
hesqdisease?
B12sqlevel
Glucosesqlevel
Bloodsqureasqnitrogensq(BUN)sqandsqcreatinine
Aspartatesqaminotransferasesq(AST)sqandsqalaninesqaminotransferasesq(ALT)sq-
sqans-B12sqlevel
Thesqnursesqissqpreparingsqtosqinfusesqgamma-
globulinsqintravenouslysq(IV).sqWhensqadministeringsqthissqdrug,sqthesqnursesqkno
wssqthesqspeedsqofsqthesqinfusionsqshouldsqnotsqexceedsqwhatsqrate?
3sqmL/min
10sqmL/min
6sqmL/min
1.5sqmL/minsq-sqans-3sqmL/min
Asqclientsqissqsuspectedsqofsqhavingsqansqimmunesqsystemsqdisorder.sqThesqhea
lthsqcaresqprovidersqwantssqtosqperformsqasqdiagnosticsqtestsqtosqconfirmsqthesqd
iagnosis.sqWhatsqtestsqshouldsqthesqnursesqpreparesqthesqclientsqfor?
Completesqchemistrysqpanel
T-andsqC-cellsqassays
Plasmapheresis
Enzyme-linkedsqimmunosorbentsqassaysq-sqans-Enzyme-
linkedsqimmunosorbentsqassay
Thesqnursesqissqcaringsqforsqasqclientsqwithsqansqautoimmunesqdisease.sqWhatsq
issqasqcharacteristicsqofsqautoimmunesqdisorders?
Affectssqonlysqoldersqadultssqandsqinfantssqlesssqthansq3sqmonths
Profoundsqfatiguesqwithsqnosqidentifiablesqcause
Progressivesqtissuesqdamagesqwithoutsqanysqverifiablesqetiology
Absencesqofsqasqtriggeringsqeventsq-sqans-
Progressivesqtissuesqdamagesqwithoutsqanysqverifiablesqetiology