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Worksheets

Immune system d/o

Total questions: 30

Worksheet time: 15mins

Name
Class
Date
1.

A client is suspected of having systemic lupus erythematous. The nurse monitors the client, knowing that which of the following is one of the initial characteristic sign of systemic lupus erythematous?

a)

Weight gain

b)

Subnormal temperature

c)

Elevated red blood cell count

d)

Rash on the face across the bridge of the nose and on the cheeks

2.

The nurse is assisting in planning care for a client with a diagnosis of immune deficiency. The nurse would incorporate which of the following as a priority in the plan of care?

a)

Protecting the client from infection

b)

Providing emotional support to decrease fear

c)

Encouraging discussion about lifestyle changes

d)

Identifying factors that decreased the immune function

3.

A client calls the office of his primary care health care provider and tells the nurse 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. The appropriate nursing action is to:

a)

Advise the client to soak the site in hydrogen peroxide

b)

Ask the client if he ever sustained a bee sting in the past

c)

Tell the client to call an ambulance for transport to the emergency room

d)

Tell the client not to worry about the sting unless difficulty with breathing occurs.

4.

The nurse is assisting in administering immunizations at a health care clinic. The nurse understands that immunization provides which of the following?

a)

Protection from all diseases

b)

Innate immunity from disease

c)

Natural immunity from disease

d)

Acquired immunity from disease

5.

The nurse is assigned to care for a client with systemic lupus erythematosus (SLE). The nurse plans care knowing that this disorder is:

a)

A local rash that occurs as a result of allergy

b)

A disease caused by overexposure to sunlight

c)

An inflammatory disease of collagen contained in connective tissue

d)

A disease caused by the continuous release of histamine in the body

6.

Which interventions would apply in the care of a client at high risk for an allergic response to a latex allergy. Select all that apply.

a)

Use non-latex gloves.

b)

Use medications from glass ampules.

c)

Place the client in a private room only.

d)

Do not puncture rubber stoppers with needles.

e)

Keep a latex-safe supply cart available in the client's area.

7.

The nurse is assigned to care for a client admitted to the hospital with a diagnosis of systemic lupus erythematosus (SLE). The nurse reviews the health care provider's prescriptions. Which of the following medications would the nurse expect to be prescribed?

a)

Antibiotic

b)

Antidiarrheal

c)

Corticosteroid

d)

Opioid analgesic

8.

A nurse is assigned to care for a client who returned home from the emergency department following treatment for a sprained ankle. The nurse notes that the client was sent home with crutches that have rubber axillary pads and needs instructions regarding crutch walking. On data collection, the nurse discovers that the client has an allergy to latex. Before providing instructions regarding crutch walking, the nurse should

a)

Contact the ealth care provider (HCP).

b)

Cover the crutch pads with cloth.

c)

Call the local medical supply store, and ask for a cane to be delivered.

d)

Tell the client that the crutches must be removed immediately from the house.

9.

A nurse is assisting in developing a plan of care for a client with immunodeficiency. The nurse understands that which problem is a priority for the client?

a)

Infection

b)

Inability to cope

c)

Lack of information about the disease

d)

Feeling uncomfortable about body changes

10.

A client with human immunodeficiency virus (HIV) who has contracted tuberculosis (TB) asks the nurse how long the medication therapy lasts. The nurse responds that the duration of therapy would likely be for at least:

a)

6 total months and at least 1 month after cultures convert to negative

b)

6 total months and at least 3 months after cultures convert to negative

c)

9 total months and at least 3 months after cultures convert to negative

d)

9 total months and at least 6 months after cultures convert to negative

11.

A client who is human immunodeficiency virus (HIV) positive has had a Mantoux skin test. The results show a 7-mm area of induration. The nurse evaluates that this result is:

a)

Negative

b)

Borderline

c)

Uncertain

d)

Positive

12.

A client with acquired immunodeficiency syndrome (AIDS) is taking zidovudine (Retrovir) 200 mg orally three times daily. The client reports to the health care clinic for follow-up blood studies, and the results of the blood studies indicate severe neutropenia. Which of the following would the nurse anticipate to be prescribed for the client?

a)

Reduction in the medication dosage

b)

Discontinuation of the medication

c)

The administration of prednisone concurrent with the therapy

d)

Administration of epoetin alfa (Epogen)

13.

A client with acquired immunodeficiency syndrome (AIDS) is taking didanosine (Videx). The client calls the nurse at the health care provider's office and reports nausea, vomiting, and abdominal pain. Which of the following instructions would the nurse provide to the client?

a)

This is an expected side effect of the medication.

b)

Come to the office to be seen by the health care provider.

c)

Take crackers and milk with the administration of the medication.

d)

Decrease the dose of the medication until the next health care provider's visit.

14.

A nurse is assisting in developing a plan of care for a client with acquired immunodeficiency syndrome (AIDS) who is experiencing night fever and night sweats. Which nursing intervention should the nurse suggest including in the plan of care to manage this symptom?

a)

Keep the call bell within reach for the client.

b)

Administer a sedative at bedtime.

c)

Administer an antipyretic at bedtime.

d)

Provide a back rub and comfort measures before bedtime.

15.

A nurse is assisting in preparing a plan of care for a client with acquired immunodeficiency syndrome (AIDS) who has nausea. Which dietary measure should the nurse include in the plan?

a)

Dairy products with each snack and meal

b)

Red meat daily

c)

Adding spices to food to make the taste more palatable

d)

Foods that are at room temperature

16.

A nurse is assisting in developing a plan of care for a pregnant client with acquired immunodeficiency syndrome (AIDS). The nurse determines that which of the following is the priority concern for this client?

a)

Inability to care for self at home

b)

Development of an infection

c)

Lack of available support services

d)

Isolation

17.

A nurse is collecting data on a client who complains of fatigue, weakness, malaise, muscle pain, joint pain at multiple sites, anorexia, and photosensitivity. Systematic lupus erythematosus (SLE) is suspected. The nurse further checks for which of the following that is also indicative of the presence of SLE?

a)

Emboli

b)

Ascites

c)

Two hemoglobin S genes

d)

Butterfly rash on cheeks and bridge of nose

18.

Which client is at the highest risk for systemic lupus erythematous (SLE)?

a)

An Asian male

b)

A white female

c)

An African-American male

d)

An African-American female

19.

A client with acquired immunodeficiency syndrome (AIDS) has difficulty swallowing. The nurse has given the client suggestions to minimize the problem. The nurse determines that the client has understood the instructions if the client verbalized to increase intake of foods such as:

a)

Raw fruits and vegetables

b)

Hot soup

c)

Peanut butter

d)

Puddings

20.

A client with acquired immunodeficiency syndrome (AIDS) is experiencing shortness of breath related to Pneumocystis jiroveci pneumonia. Which measure should the nurse suggest to assist the client in performing activities of daily living?2alue.. Provide meals and snacks with high protein, high calorie, and high nutritional v

a)

Provide supportive care with hygiene needs.

b)

Provide meals and snacks with high protein, high calorie, and high nutritional value.

c)

Provide small, frequent meals

d)

.Offer low microbial food.

21.

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 instructions?

a)

"I should take hot baths because they are relaxing."

b)

"I should sit whenever possible to conserve my energy."

c)

"I should avoid long periods of rest because it causes joint stiffness."

d)

"I should do some exercises, such as walking, when I am not fatigued."

22.

A client with acquired immunodeficiency syndrome has a respiratory infection from Pneumocystis jiroveci and a nursing diagnosis of Impaired Gas Exchange written in the plan of care. Which of the following indicates that the expected outcome of care has not yet been achieved?

a)

The client limits fluid intake.

b)

The client has clear breath sounds.

c)

The client expectorates secretions easily

d)

The client is free of complaints of shortness of breath.

23.

A nurse is providing dietary instructions to a client with systemic lupus erythematosus. Which of the following dietary items would the nurse instruct the client to avoid?

a)

Steak

b)

Turkey

c)

Broccoli

d)

Cantaloupe

24.

A client reports to the health care clinic to obtain testing regarding human immunodeficiency virus (HIV) status after being exposed to an individual who is HIV positive. The test results are reported as negative, and the client tells the nurse that he feels so much better knowing that he had not contracted HIV. The nurse explains the test results to the client, telling the client that:

a)

There is no further need for testing.

b)

A negative HIV test is considered accurate.

c)

A negative HIV test is not considered accurate during the first 6 months after exposure.

d)

The test should be repeated in 1 week

25.

A complete blood cell count is performed on a client with systemic lupus erythematosus (SLE). The nurse would suspect that which of the following findings will be reported from this blood test?

a)

Increased red blood cell count

b)

Decrease of all cell types

c)

Increased white blood cell count

d)

Increased neutrophils

26.

A nurse is providing general information to a group of high school students about preventing human immunodeficiency virus (HIV) transmission. The nurse would inform the students that which of the following is an unsafe behavior?

a)

Abstinence

b)

Mutual monogamy

c)

Use of latex condoms

d)

Use of natural skin condoms

27.

client in the clinical unit who is allergic to shellfish unknowingly ate a dish brought by a friend that had shellfish as an ingredient. The client quickly develops anaphylaxis. The nurse would focus on which of the following first until additional help arrives?

a)

Preparing a dose of epinephrine (Adrenalin)

b)

Preparing a dose of a corticosteroid

c)

Maintaining a patent airway

d)

Telling the client to obtain a Medic-Alert bracelet

28.

A nurse is assisting in the care of a client diagnosed with systemic lupus erythematosus (SLE). The nurse should administer which of the following prescribed medications that is needed to manage the condition?

a)

Antidiarrheal

b)

Corticosteroid

c)

Antibiotic

d)

Opioid analgesic

29.

The nurse is alerted to possible anaphylactic shock immediately after a patient has received intramuscular penicillin by the development ofa.

a)

edema and itching at the injection site.

b)

sneezing and itching of the nose and eyes.

c)

wheal-and-flare reaction at the injection site.

d)

chest tightness and production of thick sputum.

30.

Transmission of HIV from an infected individual to another most commonly occurs as a result of

a)

unprotected anal or vaginal sexual intercourse

b)

low levels of virus in the blood and high levels of CD4+ T cells.

c)

transmission from mother to infant during labor and delivery and breastfeeding.

d)

sharing of drug-using equipment, including needles, syringes, pipes, and straws.