Exam 8: Immunity

The nurse is planning care for a pediatric client diagnosed with human immunodeficiency virus (HIV).The nurse selects Risk for Infection as a priority nursing diagnosis for this pediatric client.Based on this nursing diagnosis,which actions by the nurse are appropriate? Select all that apply.

The nurse is discharging a pediatric who recently developed acquired immunodeficiency syndrome (AIDS).When discussing appropriate health promotion activities for this child,which immunization is not appropriate for this client to receive due to AIDS diagnosis?

The nurse is caring for a client in an allergy clinic.After completing the client history,the nurse selects the nursing diagnosis of Risk for Shock.Which item in the client's history supports the need for this nursing diagnosis? ?

A nurse is caring for a client who was admitted to the hospital with an exacerbation of rheumatoid arthritis (RA).The client reports pain is a 3 on a scale from 1 to 10 today.Which non-pharmacological interventions can the nurse provide to enhance the client's comfort? Select all that apply.

A client with rheumatoid arthritis (RA)is being seen in the outpatient clinic for a progress check-up.The nurse is reviewing the client's plan of care and determines that the client has met a goal of treatment when the client makes which statement?

A client receives the yellow fever vaccine before traveling to the Amazon Basin and asks the nurse how the vaccine provides protection.Which responses by the nurse is the most appropriate? Select all that apply.

A pediatric client with a history of anaphylactic hypersensitivity reactions will be discharged with a prescription for an EpiPen.Which statements are appropriate for the nurse to include in the discharge instructions for this client and family? Select all that apply.

The nurse is providing care to a client with a compromised immune system.Which independent nursing intervention is appropriate for the nurse to include in the client's plan of care?

The nurse is providing care to a client who is receiving nonsteroidal anti-inflammatory drugs (NSAIDs)in the treatment of rheumatoid arthritis.When providing care to this client,which actions by the nurse are appropriate? Select all that apply.

A home health nurse is conducting home visits for several clients who are diagnosed with acquired immunodeficiency syndrome (AIDS).Which client would the nurse see first?

A client recently diagnosed with rheumatoid arthritis (RA)asks the nurse if the disease is caused by ethnicity.Which response by the nurse is the most appropriate?

Human immunodeficiency virus (HIV)infects and destroys CD4 cells.List the following events in the order in which they occur for a client who is HIV-positive. A) Virus invades helper T cell B) Viral RNA converts with reverse transcriptase to viral DNA C) Viral DNA integrates with host cell DNA. D) Virus remains latent, or actively replicates. E) Virus sheds protein coat.

The nurse is planning care for an adolescent client who has systemic lupus erythematosus (SLE).Which action by the client indicates the implemented plan of care is appropriate?

A nurse is caring for a client with systemic lupus erythematosus (SLE).The client begins to cry stating,"I am afraid I will be disfigured because of all of these lesions." Which interventions does the nurse plan to teach this client to minimize skin infections associated with SLE? Select all that apply.

The nurse is providing care for a newly married woman with systemic lupus erythematosus (SLE).Which client statement indicates an appropriate understanding of the plan of care?

A nurse is caring for a client with systemic lupus erythematous (SLE)who is taking hydroxychloroquine (Plaquenil).When providing care for this client,the nurse monitors for which adverse effects associated with the prescribed medication?

The nurse is providing care to a pediatric client who is HIV-positive.The client's mother is describing the child's current condition and activities to the nurse.Which statements by the mother indicate that the child is currently exhibiting positive outcomes related to the diagnosis? Select all that apply.

A nurse is performing an admission assessment on a client with symptoms that indicate the client may have human immunodeficiency virus (HIV).Which question from the nurse addresses a major risk factor for contracting HIV?

A client asks the nurse if there are any conditions that can exacerbate systemic lupus erythematosus (SLE).Which response by the nurse is the most appropriate?

The nurse is providing care to an adolescent client who presents at the clinic for a routine health assessment.Which immunizations does the nurse anticipate administering to the adolescent during this visit? Select all that apply.