Exam 14: Hypersensitivity and Autoimmune Disorders

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The nurse is caring for a client with Graves disease. What concept related to the client's condition does the nurse recognize as true?

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A

The nurse is caring for a client who began experiencing symptoms of systemic lupus erythematosus (SLE) about one year ago. What does the nurse understand to be potential causes of this condition? Select all that apply.

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A, B, C, E

The nurse is administering a tuberculin skin test for a client. What is the nurse's understanding of the hypersensitivity response associated with this test? Select all that apply.

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A, B, C

The nurse is caring for a client with a suspected autoimmune disorder. What concept related to the client's condition does the nurse recognize is true? Select all that apply.

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The nurse is caring for a client with an allergic reaction. What is the nurse's understanding of this type of hypersensitivity reaction?

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The nurse is educating a client about the functions of the immune system. Which statements will the nurse include in the teaching materials? Select all that apply.

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The nurse is caring for a client diagnosed with systemic lupus erythematosus (SLE). What does the nurse understand about the etiology and pathogenesis of this condition? Select all that apply.

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The nurse is educating a client with an autoimmune disorder about immune tolerance. Which statement should the nurse include in the teaching?

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The nurse is caring for a client who experienced an immune response resulting from exposure to a foreign material. Which blood components or pathophysiological processes represent foreign materials? Select all that apply.

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The nurse is providing education to a client prescribed with intranasal cromolyn. Which statement will the nurse include in the client teaching about this medication?

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The nurse is caring for a client with a diagnosis of lymphedema. Which body component does the nurse recognize as making up the peripheral lymphoid organs? Select all that apply.

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The nurse is caring for an older adult client with active tuberculosis (TB) who has a negative TB skin test. The nurse understands that this phenomenon is due to:

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The nurse is caring for a client who is five months pregnant and HIV positive. What is the nurse's understanding of the neonate's HIV status?

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The nurse is caring for a client with serum sickness. What does the nurse understand to be a potential cause of this client's condition? Select all that apply.

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The nurse is performing a skin assessment on a client diagnosed with systemic lupus erythematosus (SLE). Which assessment findings does the nurse anticipate? Select all that apply.

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The nurse is caring for a client with serum sickness. Which interventions will the nurse anticipate will be included in the client's collaborative plan of care? Select all that apply.

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The nurse is caring for a newborn baby. What is the nurse's understanding of this client's immunity?

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The nurse is providing education for a client diagnosed with systemic lupus erythematosus (SLE). Which statement by the client indicates an understanding of the teaching?

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The nurse acts as a preceptor to a novice nurse, who is caring for a client with a penicillin allergy. Which statement by the novice nurse requires further follow up by the nurse preceptor?

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The nurse is educating an older adult client about age-related changes in immunity. Which statements will the nurse include in the education? Select all that apply.

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