Immune Flashcards

7/20/23, 10:51 PM Immune Flashcards | Quizlet
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Terms in this set (69)
Which individual is least at risk An individual working in an environment where

for the development of exposure to asbestos exists
Kaposi's sarcoma?
The nurse prepares to give a Wearing a gown and gloves

bath and change the bed
linens for a client with
cutaneous Kaposi's sarcoma
lesions. The lesions are open
and draining a scant amount of
serous fluid. Which should the
nurse incorporate in the plan
during the bathing of this
client?
The client is suspected of Rash on the face across the nose and on the cheeks
having systemic lupus
erythematous (SLE). The nurse
monitors the client, knowing
that which is one of the initial
characteristic signs of SLE?
The client diagnosed with An autoimmune disease that causes blistering in the
pemphigus is being seen in the epidermis
clinic regularly. The nurse
should plan care based on
which description of this
condition?
Immune
https://quizlet.com/386298602/immune-flash-cards/ 1/16
Use nonlatex gloves.
Which interventions should be

Use medications from glass ampules.
implemented in the care of a
client at high risk for an allergic
Do not puncture rubber stoppers with needles.
response to a latex allergy?
Select all that apply.
Keep a latex-safe supply cart available in the client's
area.
The nurse is assisting with Protecting the client from infection

planning the care of a client
with a diagnosis of
immunodeficiency. The nurse
should incorporate which
intervention as a priority in the
plan of care?
The client calls the office of the Ask the client if they ever sustained a bee sting in
primary health care provider the past.
(PHCP) and states to the nurse
that they were just stung by a
bumblebee while gardening.
The client is afraid of a severe
reaction because their
neighbor experienced such a
reaction just 1 week ago. Which
should be the appropriate
nursing action?
The nurse is assisting with the Acquired immunity from disease

administration of immunizations
at a health care clinic. The
nurse should understand that
immunization provides which
protection?
The nurse is assigned to care It is an inflammatory disease of collagen contained

for a client diagnosed with in connective tissue.
systemic lupus erythematosus
(SLE). The nurse should plan
care considering which factor
regarding this diagnosis?
Immune
The camp nurse prepares to Lyme disease is caused by a tick carried by deer.
instruct a group of children
about Lyme disease. Which
information should the nurse
include in the instructions?
The client is diagnosed with Flu-like symptoms

stage I of Lyme disease. The
nurse should check the client
for which characteristic of this
stage?
The client arrives at the health Instruct the client to return in 4 to 6 weeks to be
care clinic and states to the tested, because testing before this time is not
nurse that they were just bitten reliable.
by a tick and would like to be
tested for Lyme disease. The
client tells the nurse that they
removed the tick and flushed it
down the toilet. Which nursing
action is appropriate?
The nurse, a Cub Scout leader, "I should not use insect repellent because it will
is preparing a group of Cub attract the ticks."
Scouts for an overnight
camping trip and instructs
them about the methods to
prevent Lyme disease. Which
statement by one of the Cub
Scouts indicates a need for
further teaching
The client with acquired Punch biopsy of the cutaneous lesions

immunodeficiency syndrome
(AIDS) is diagnosed with
cutaneous Kaposi's sarcoma.
Based on this diagnosis, the
nurse should determine that
this has been confirmed by
which finding?
Immune
The nurse is assisting with Individuals with spina bifida

identifying clients in the
community at risk for latex
allergy. Which client
population is most at risk for
developing this type of
allergy?
The nurse is assigned to care Hydroxychloroquine

for a client admitted with a
diagnosis of systemic lupus
erythematosus (SLE). The nurse
reviews the primary health care
provider's prescriptions. Which
medication should the nurse
expect to be prescribed to aid
in long-term control?
The community health nurse is Hairdressers

conducting a research study
and is identifying clients in the
community who are at risk for
latex allergy. The nurse should
determine that which client
population is at risk for
developing this type of
allergy?
The home care nurse is Kiwi

collecting data from a client
who has been diagnosed with Bananas
an allergy to latex. In
determining the client's risk
factors associated with the
allergy, the nurse should
question the client about an
allergy to which food items?
Immune
The home care nurse is Cover the crutch pads with cloth.
assigned to care for the client
who returned home following
treatment for a sprained ankle.
The nurse notes that the client
was sent home with crutches
that have rubber axillary pads
and needs to reinforce
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 do which action?
The home care nurse is Cotton pads and silk tape

prescribing dressing supplies
for the client who has an
allergy to latex. The nurse
should ask the medical supply
personnel to deliver which
items?
The nurse is assisting in Infection

developing a plan of care for
the client with
immunodeficiency. The nurse
should determine that which
problem is a priority for the
client?
The client calls the emergency Apply ice and elevate the site.
department and tells the nurse
that he received a bee sting to
the arm. The client states that
he has received bee stings in
the past and is not allergic to
bees but the site is painful and
asks the nurse how to alleviate
the pain. Which primary action
should the nurse instruct the
client to take?
Immune
The client who is diagnosed It is positive.

positive for human
immunodeficiency virus (HIV)
has had a tuberculin skin test.
The results show a 7-mm area
of induration. The nurse should
interpret the test results as
which response?
The client diagnosed with Discontinuation of the medication

acquired immunodeficiency
syndrome (AIDS) is taking
zidovudine 200 mg orally three
times daily. The client reports
to the health care clinic for
follow-up blood studies, and
the results indicate severe
neutropenia. Which should the
nurse next anticipate to be
prescribed for the client?
The client diagnosed with Vomiting and abdominal pain

syndrome (AIDS) is taking
didanosine. The nurse
reinforces instructions to the
client to watch for which
signs/symptoms that the
medication may have caused
the adverse effect of
pancreatitis?
Indinavir is prescribed for a "I need to take the medication with water but on an
client diagnosed with human empty stomach."
immunodeficiency virus (HIV).
The nurse has reinforced
instructions to the client
regarding ways to maximize
absorption of the medication.
Which statement by the client
indicates an adequate
understanding of the use of
this medication?
Immune
The nurse is assisting in Administer an antipyretic at bedtime.

the client diagnosed with
syndrome (AIDS) experiencing
night fever and night sweats.
Which nursing intervention
should be included in the plan
of care to manage this
symptom?
The nurse is assisting in Foods that are at room temperature

preparing a plan of care for the
client diagnosed with acquired
(AIDS) who has nausea. Which
dietary measure should the
nurse most likely include in the
plan?
The nurse is assisting in Development of an infection

the pregnant client diagnosed
with acquired
(AIDS). The nurse should
determine that which is the
priority concern for this client?
The nurse is assessing the "Did you have chicken pox as a child?"
client who has small groups of
vesicles over his chest and
upper abdominal area. They
are located only on the right
side of his body. The client
states his pain level is 8/10, and
describes the pain as burning
in nature. Which question is
most appropriate to include in
the data collection?
Immune
The client prescribed The medication will be temporarily discontinued.

zidovudine has been
diagnosed with severe
neutropenia. The nurse
anticipates which intervention
should be implemented?
The client diagnosed with Come to the health care clinic to be seen by the
acquired immunodeficiency primary health care provider.
syndrome (AIDS) reports
nausea, vomiting, and
abdominal pain after beginning
didanosine therapy. The clinic
nurse should reinforce which
instruction to this client?
The nurse should interpret that Numbness in the legs

the client prescribed
zalcitabine is experiencing an
adverse effect of this
medication when which event
is reported by the client?
A client is diagnosed with Nervous system disorders

stage II Lyme disease. The
nurse should check the client
for which characteristic of this
stage?
The client diagnosed with "It can, but you will be monitored closely for cardiac
Lyme disease tells the nurse, "I complications.
heard this disease can affect
the heart. Is this true?" The
nurse should make which
response to the client?
The nurse reads the chart of Complaints of joint pain

the client who has been
diagnosed with stage III Lyme
disease. The nurse should
determine that which
sign/symptom best supports
this diagnosis?
Immune
The client arrives at the health Arrange for the client to return in 4 to 6 weeks to be
care clinic requesting to be tested.
tested for Lyme disease. The
client tells the nurse that he
removed the tick and flushed it
down the toilet. The nurse
should respond with which
most appropriate action?
The client diagnosed with A 3- to 4-week course of oral antibiotic therapy

stage I Lyme disease asks the
nurse about the treatment for
the disease. The nurse
responds to the client,
anticipating that which
treatment should be included
in the care plan?
The nurse is collecting data on Ulnar drift

the client with a diagnosis of
rheumatoid arthritis. The nurse
looks at the client's hands and
notes characteristic
deformities. The nurse should
identify this as which
deformity? Refer to figure.
The nurse is collecting data on Butterfly rash on the cheeks and bridge of the nose
a client complaining of fatigue,
weakness, malaise, muscle
pain, joint pain at multiple sites,
anorexia, and photosensitivity.
Systematic lupus
erythematosus (SLE) is
suspected. The nurse should
further check for which
manifestation that is also
indicative of the presence of
SLE?
Immune
The primary health care Cloudy synovial fluid

provider aspirates synovial
fluid from a knee joint of a
client diagnosed with
rheumatoid arthritis. The nurse
reviews the laboratory analysis
of the specimen and should
expect the results to best
indicate which finding?
Female gender
The nurse should determine

African-American origin
that which are risk factors for
systemic lupus erythematous
Age between 60 to 75 years
(SLE)? Select all that apply.
Being in the childbearing years
The client calls the health care Skin rash

clinic and tells the nurse that
he was bitten by a tick. The
client asks the nurse about the
first signs of Lyme disease. The
nurse should respond with
which characteristic of stage 1
of Lyme disease?
The client arrives at the "When were you bitten by the tick?"
ambulatory care center
complaining of flulike
symptoms. On data collection,
the client tells the nurse that he
was bitten by a tick and is
concerned that the bite is
causing the sick feelings. The
client requests a blood test to
determine the presence of
Lyme disease. Which question
should the nurse ask next?
Immune
The client diagnosed with Puddings

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
verbalizes the intent to
increase intake of which
food(s)?
The client diagnosed with Provide supportive care with hygiene needs.
syndrome (AIDS) is
experiencing shortness of
breath related to Pneumocystis
jiroveci pneumonia. Which
measure should the nurse
implement to assist the client in
performing activities of daily
living?
The nurse is reviewing the Butterfly rash on cheeks and bridge of the nose
medical record of the client
who is suspected of having
systematic lupus
erythematosus (SLE). Which
sign should the nurse expect to
be documented in the record
that is most related to this
diagnosis?
The nurse determines that the "I will include plenty of fresh fruits in my diet."
client diagnosed with
neutropenia needs further
teaching if which statement is
made by the client?
Immune
The nurse reinforces home I should take hot baths because they are relaxing."
care instructions to a client
diagnosed with systemic lupus
erythematosus and instructs
the client about methods to
manage fatigue. Which
statement by the client
indicates a need for further
teaching?
The client with a diagnosis of Skin biopsy

syndrome has raised, dark
purplish lesions on the trunk of
the body. The nurse anticipates
that which procedure will be
done to confirm whether these
lesions are due to Kaposi's
sarcoma?
A client diagnosed with The client limits fluid intake.

syndrome has a respiratory
infection from Pneumocystis
jiroveci and a client problem of
impaired gas exchange written
in the plan of care. Which
indicates that the expected
outcome of care has not yet
been achieved?
The nurse is reinforcing dietary Steak

instructions to a client
diagnosed with systemic lupus
erythematosus. Which dietary
items should the nurse most
instruct the client to avoid?
A client is diagnosed with Flulike symptoms

stage I Lyme disease. In
addition to the rash, the nurse
should check the client for
which manifestation?
Immune
The client reports to the health A negative HIV test is not considered accurate
care clinic to obtain testing during the first 6 months after exposure.
regarding human
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 has not contracted HIV.
The nurse should explain the
test results to the client,
including which information?
A complete blood cell count is Decrease of all cell types

performed on the client with a
diagnosis of systemic lupus
should suspect that which
finding will most likely be
reported from this blood test
The clinic nurse periodically Cough

cares for the client diagnosed
with acquired
immunodeficiency syndrome.
The nurse should assess for an
early manifestation of
Pneumocystis jiroveci infection
by monitoring for which
sign/symptom at each client
visit?
The nurse is providing Keep liquids on the nightstand at home.

instructions to the client
diagnosed with acquired
(AIDS) experiencing night fever
and night sweats. The nurse
should advise the client to do
which action to best increase
comfort while minimizing
symptoms?
Immune
The nurse is providing general Use of natural skin condoms

information to a group of high
school students about
preventing human
transmission. The nurse should
inform the students that which
behavior is most unsafe?
The nurse is instructing the Beef

client with a diagnosis of
systemic lupus erythematosus Cheese
(SLE) about dietary alterations.
The nurse should remind the
client to avoid which primary
foods? Select all that apply.
The client is diagnosed with an Protecting the client from infection

immune deficiency. The nurse
focuses on which nursing
responsibility as the highest
priority when providing care to
this client?
The nurse is assisting in the Corticosteroid

care of the client diagnosed
with systemic lupus
should most appropriately
administer which prescribed
medication to manage the
condition?
The primary health care Candidiasis

provider prescribes
fluconazole for the client.
When administering this
medication the nurse should
explain to the client that it is
prescribed to treat which
opportunistic infection?
Immune
The client recently diagnosed Toxoplasmosis is treated with sulfadiazine.

with toxoplasmosis asks the
nurse, "What is toxoplasmosis? Pregnant people should not empty litter boxes.
How did I get it, and what do I
have to do to get rid of it"? Toxoplasmosis is an organism found in rare pork.
Which information should the
nurse include in the response? Toxoplasmosis may cause a severe inflammatory
Select all that apply. response.
Tears
The nurse is explaining about
antigens and antibodies when Spleen
the client asks where
antibodies come from. The Saliva
nurse should include which
areas as the most appropriate Blood serum
response? Select all that apply.
Lymph nodes
The nurse is caring for the Anemia

client diagnosed with systemic
lupus erythematosus (SLE) that Splenomegaly
is affecting the hematopoietic
system. Which data regarding Lymphadenopathy
signs and symptoms should the
nurse anticipate collecting?
Hives
Which signs/symptoms should Stridor

indicate to the nurse that the
client is experiencing an Dyspnea
anaphylactic reaction? Select
all that apply. Urticaria
Wheezing
Which medications should the Oxymetazoline

nurse expect to be prescribed
to effectively reduce nasal Pseudoephedrine
edema and rhinorrhea (thin
watery discharge from the
nose)? Select all that apply.
Immune
Which symptoms should the Lymphoma

nurse anticipate and monitor
for in clients diagnosed with Kaposi's sarcoma
stage 4 human
immunodeficiency virus (HIV) Candidiasis of the esophagus
infection? Select all that apply.
Which findings should cause Immune deficiency disease

the nurse to postpone
administration of an Familial history of severe allergic response to the
immunization and do further immunization
data collection? Select all that
apply.

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7/20/23, 10:51 PM Immune Flashcards | Quizlet

Countdown to the 2023 Unconference is on! Reserve your spot here

5.0 (20 reviews)

Terms in this set (69)

Which individual is least at risk An individual working in an environment where

The nurse prepares to give a Wearing a gown and gloves

Use nonlatex gloves.

Which interventions should be

The nurse is assisting with Protecting the client from infection

The nurse is assisting with the Acquired immunity from disease

The nurse is assigned to care It is an inflammatory disease of collagen contained

The client is diagnosed with Flu-like symptoms

The client with acquired Punch biopsy of the cutaneous lesions

The nurse is assisting with Individuals with spina bifida

The nurse is assigned to care Hydroxychloroquine

The community health nurse is Hairdressers

The home care nurse is Kiwi

The home care nurse is Cotton pads and silk tape

The nurse is assisting in Infection

The client who is diagnosed It is positive.

The client diagnosed with Discontinuation of the medication

The client diagnosed with Vomiting and abdominal pain

The nurse is assisting in Administer an antipyretic at bedtime.

The nurse is assisting in Foods that are at room temperature

The nurse is assisting in Development of an infection

The client prescribed The medication will be temporarily discontinued.

The nurse should interpret that Numbness in the legs

A client is diagnosed with Nervous system disorders

The nurse reads the chart of Complaints of joint pain

The client diagnosed with A 3- to 4-week course of oral antibiotic therapy

The nurse is collecting data on Ulnar drift

The primary health care Cloudy synovial fluid

The nurse should determine

Being in the childbearing years

The client calls the health care Skin rash

The client diagnosed with Puddings

The client with a diagnosis of Skin biopsy

A client diagnosed with The client limits fluid intake.

The nurse is reinforcing dietary Steak

A client is diagnosed with Flulike symptoms

A complete blood cell count is Decrease of all cell types

The clinic nurse periodically Cough

The nurse is providing Keep liquids on the nightstand at home.

The nurse is providing general Use of natural skin condoms

The nurse is instructing the Beef

The client is diagnosed with an Protecting the client from infection

The nurse is assisting in the Corticosteroid

The primary health care Candidiasis

The client recently diagnosed Toxoplasmosis is treated with sulfadiazine.

The nurse is caring for the Anemia

Which signs/symptoms should Stridor

Which medications should the Oxymetazoline

Which symptoms should the Lymphoma

Which findings should cause Immune deficiency disease

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