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WorksheetsImmunology Practice
Total questions: 20
Worksheet time: 20mins
The nurse reviews the most current laboratory results of assigned clients. Which result should the nurse to the health care provider immediately?
The client who has cellulitis of the log with a white blood cell (WBC) count of 13,000/mm (13.0 X 10 L)
The client who has chronic kidney injury with a hematocrit of 28% and hemoglobin of 9 g/dl
The client who has type 2 diabetes mellitus with a 2-hour postprandial serum glucose of 165 mg/dL
The client who is 1 month post kidney transplant with urinalysis showing WBCs and bacteria
The nurse reviews the serum laboratory results of a client who has seen in the clinic 2 days ago for worsening joint pain from a flare of systemic lupus erythematosus. Which result is of gratest concern and prompts the nurse to notify the heath care provider?
Creatinine of 1.8 mg/dL
Elevted erythrocyte sedimentation rate
Positive antinuclear antibody titer
White blood cell count of 3, 600 mm3 (3.6 X 10 9 /L
The nurse cares for a client with an excerbation of inflammatory bowel disease (IBD). The cleint tells the nurse about being infected with TB 10 years ago, but never beig medicated. Which prescription is of concern and prompts the nurse to notify the healthcare provider?
Lansoprazole
Metronidazole
Prednisone
Sulfasalazine
A parent calls the telehealth triage line with concerns about an allergic reaction to something a child ate. Which symptoms should the nurse instruct the parent to assess for to determine if the child is having an anaphylactic reaction? Select all that apply.
Dyspnea
Fever
Light headedness
Skin rash
Wheezing
The clinc nurse performs an admission assessment on a client diagnosed with systemic lupus erythematosus (SLE). Which charateristic cutaneous manifestation of SLE would the nurse most likely assess?
Petechiae
Butterfly shape rash
Pruritis
Urticaria
The nurse is caring for a cient with sclera derma. Which assessment finding indicates the most serious complication f the diseaseand requires priority intervention?
Abrupt-onset hypertension and headache
Blue and cold fingers
Dry cough and exertional dyspnea
Heartburn and difficulty swallowing
The nurse is caring for a client with immune thrombocytopenic purpura. Which client statements indicate a need for further teahing? Select all that apply.
"I use a soft-brittle toothbrush and mild mouth rinse"
"I enjoy walking and wear nonskid footwear for safety"
"I use a safety razor and gentle shaving creme"
"Sometimes I get constipated, so I have been taking docusate"
"When I have a headache, I take over-the-counter ibuprofen"
The nurse is planning teaching for a client newly diagnosed with Sjogren's Syndrome. Which measures will the nurse include in the teaching plan? Select all that apply.
Chewing sugar-free gum or using artificial salivia
Scheduling regular dental examination
Showering with lukewarm water avoiding harsh soap
Using over-the-counter decongestants to alleviate nasal symptoms
Using over-the-counter lubricants to ease vaginal dryness
A client allergic to bee stings was stung about 20 minutes ago at a pinic. Based on the assessment data , the nurse anticipates which immediate actions? Select all that apply.
Vital Signs:
Blood Pressure 92/40 mm Hg
Apical pulse 140/min and regular
Respirations 36/min labored
Oxygen saturation 86%
AdmissionNotes
1400 Diaphoretic; urticaria noted on upper extremities and torso. Bilateral inspiratory and expiratory wheezing on auscultation. Notes "chest tightness, trouble breathing, and itching." _________, RN
Inhaled albuterol
Intramuscular epinephrine
Intravenous methylprednisolone
Intravenous metoprolol
Intravenous nitroglycerine
A clinic nurse examine a client with a tentative diagnosis of primary Sjogren's syndrome. Which finding observed by the nurse would most likely be associated with this syndrome?
Dry eyes and mouth
Low back stiffness
Multiple tender joints
Thickening of the skin
The clinic nurse reinforces teaching to a client with systemic lupus erythematosus. Which instructions will the nurse include? Select all that apply .
Avoid annual influenza vaccination
Avoid situations that cause physical and emotional stress
Avoid sun exposure and ultraviolet light when possible
Notify the health care provider if you have fever
Use antibiotic soap to cleanse skin
A few minutes after you have given an intradermal injection of an allergen to a patient who is undergoing skin testing for allergies, the patient reports feeling anxious, short of breath, and dizzy. Which action included in the emergency protocol should you take first?
Start oxygen at 4 L/min using a nasal cannula
Obtain IV accesswith a large-bore IV catheter
Give epinephrine (Adrenalin) 0.3 mL intramuscularly
Administer 3 mL of nebulized albuterol (Proventil) 0.083%
Your patient with rheumatoid arthritis (RA) is taking prednisone (Deltasone and naproxen (Aleve) to reduce inflammation and joint pain. Which symptom ismost important to communicate to the health care provider?
RA symptoms are worst in the morning
Dry eyes
Round and moveable nodules just under the skin
Dark-colored stool
You assess a 24-year-old patient with RA who is considering using Methotrexate (Rheumatrex) for treatment. Which patient information is most important to communicate to the health care provider?
The patient has many concerns about the safety of the drug
The patient has been trying to get pregnant
The patient takes daily multivitamin tablet
The patient says that she has taken methotrexate in the past
An 18-year-old college student withan exacerbationof systemic lupus erythematous(SLE)hs been receiving prednisone (Deltasone) 20 mg daily for 4 days. Which medical order should you question?
Discontinue prednisone after today's dose
Give a "catch up" dose of varicellla vaccine
Check the patient's C-reactive protein level
Administer ibuprofen Advil 800 mg PO
A patient with wheezing and coughing coughing caused by an allergic reaction to penicillin is admitted to the emergency department. Which medication do you anticipate administering first?
Methylprednisolone (Solu-Medrol) 100 mg IV
Cromolyn (Intal) 20 mg via nebulizer
Albuterol (Proventil) 3 mL via nebulizer
Aminophylline (theophylline) 500mg IV
You are working with a studentnurse to care for an HIV-positive patient with severe esophagitis caused by Candida albicans. Which action by the student indicates that you need to intervene most quickly?
Putting on a mask and gown before entering the patient's room
Giving the patient a glass of water after administering the ordered oral nystatin (Mycostatin) suspension
Suggesting that the patient should order chili con carne or chicken soup for the next meal
Placing a "No Visitors" sign on the door of the patient room
After interviewing an HIV-positive patient who is considering starting highly active antiretroviral therapy (HAART), which patient information concerns you the most?
The patient has been HIV positive for 8 years and has never taken any drug therapy for the HIV infection
The patient tells you, "I have never been very consistent about taking medications."
The patient is sexually active with multiple partners and says "I always use a condom."
The patient has any questions and concerns regarding the effectiveness and safety of the medications.
An HIVpositive patient who has been started on HAART is seen in the clinic for follow-up. Which test will be most helpful in determining the response to therapy?
CD4 Level
Complete Blood Count
Total lymphocyte percent
Viral Load
As a hospital employee health nurse, you are completing a health history for a newly-hired staff member. Which information given by the new employee most indicates the need for further nursing action, before he/she begins orientation to patient care?
The employee takes Enalapril (Vasotec) for hypertension
The employee has an allergy to bananas, avocado, and papayas
The employee received a tetanus vaccination 3 years ago
TB skin test site has a 5-mm induration at 48 hours
