med surge Exam 1

what instructions about plasmapheresis should the nurse include in the teaching plan?

What Nursing action will detect early signs of infection in a patient taking corticosteroids

Which action would be part of the surgical time-out

a type 1 hypersensitivity reaction, the primary immunologic disorder appears to be

what info form a pt history is important when taking prescription for cyclosporine

The function of monocytes in immunity is related to their ability to

with a patient diabetes what would promote wound healing, that is the nurse's highest priority

developed a hypersensitivity to bee stings. What, would indicate a need for additional teaching

. What risk areas will the nurse need to be especially aware of for older adult during surgery

What are the most likely desired effects of midazolam that the nurse should recognize

what should a nurse tell a pt is scared they cant take care of them self with eye patch?

A patient with open leg lesion has WBC count of 13,500,what action should the nurse take first

patient missed previous appointment for immunotherapy. What action is most appropriate

What finding would indicate to the nurse the pt is at increased risk for poor wound healing

. What is the priority outcome for a PT who has had an allergic reaction to a bee sting

which immunoglobulin is found in plasma, and is responsible for the primary immune response

The nurse should plan to use a wet-to-dry dressing for which patient?

The nurse assesses that the oxygen saturation is 89% Which action should the nurse take first?

"I am a Jehovah's Witness," What would be the best response by the nurse to this patient's?

when administering the patient's immunotherapy, what is the nurse's priority action

what will be most helpful to a patient who is expected to ambulate, deep breathe,& cough?

how woul RN document small, pinpoint deposits of blood visible through the skin on the

what patient is most appropriate roommate for a patient who has acute rejection?

a patient on antibiotics for a leg wound has a temp of 101.8. Which should the nurse do?

Which statement by a patient would alert the nurse to a possible immunodeficiency disorder

The HCP asks the nurse whether a patient's angioedema has responded. the nurse should do?

when the body identifies self proteins as foreign substances, triggering an immune response.

a patient has an immune deficiency involving T lymphocytes. Which screening should the nurse do

why after administering contrast does RN stop infusion?

The patient is going to have a colonoscopy. Which type of anesthesia should the nurse expect?

A patient is transferred from the PACU to the l unit. What on unit should be done 1st

AN hour after surgery pt BP falls from 122/72 to 114/ 62 what action is most appropriate ?

What is the benefit of doing a punch biopsy for this patient?

Nurse assesses a patient's wound notes redness warmth around the incision. the nurse should?

Ten days after a bone marrow transplant, a patient develops a skin rash. What would cause

The reason newborns are protected for the first 6 months is because

the nurse obtains an oral temperature of 100.8° F. Which action should the nurse take first

One function of cell-mediated immunity is:

Which patient should the nurse assess first

Which ]interventions to minimize the effects of seasonal allergic rhinitis

Which action, if taken by the surgical technologist, would require the nurse to intervene

PT awaken yelling a nurse after 30 mins in PACU. VItals sings and labs are normal/ the nurse ?

pt is anxious and has difficulty breathing after being stung. What is the nurse's priority

a linear crack from the epidermis to the dermis noted at the corner of mouth. RN would document

Which action is most appropriate for the RN to delegate to a LPN

what documents must the nurse make sure are in the chart of surgical patient?

teaching the nurse provide about intradermal skin testing to a patient with possible allergies

A patient is admitted with purpura. Which lab test would be most important to check in the pt

Which finding is most important for the nurse to report to the surgeon after abdominal surgery?

What is the function of dendritic cells

What medication taken by the patient is most likely to have an effect on the skin system?

patient is being evaluated for atopic dermatitis. The nurse expects increase in lab value

Which assessment finding by the nurse is most consistent with severe dehydration

Which finding is most important for the nurse to report to the health care provider

Which intervention will the nurse prepare for a patient with acute rejection?

Which of the following accurately describes rejection following transplantation

immunoglobulins is responsible for produces antibodies against ABO blood antigens

The nurse should assess for improvement of this condition on which part of the patient's body

Which immunoglobulin is present in breast milk?

where surgical skin scrub prep be performed? and what clothing is appropriate?

the nurse learns patient has a history of allergic rhinitis . Which action is most appropriate

immunoglobulins helps in the differentiation of B lymphocytes

TEACH family member how to care for a pressure ulcer, what indicates that more teach is needed

what would the nurse tell someone who asks if a family member can go with them to surgery?

pt is waking up after having hip replacement is agitated & confused. What should nurse do 1st

Patient has bacterial infection feels cold with a chill. Which finding will the nurse expect

What should the nurse assess the patient for to support the existence of acne

When administering the patient a prescribed blood transfusion, the nurse monitors for

What observation made by the nurse iimmediately recognized as a violation of aseptic technique

what action is perforemed doing a wet-to-dry dressing change on a patient's stage III ulcer?

Which locations should the nurse inspect for cyanosis on dark skin person

The nurse determines that interventions for ineffective breathing have been successful if?

patient presents hives and rashes. What type of allergy test would the nurse performe

Which immunoglobulin is primarily responsible for allergic reactions

When assessing pt, what other vaccinations should the nurse ask the patient about receiving

PACU nurse notes a temp of 96.5 what should RN do?

immunoglobulins responsible for secondary immune response

What problem should the nurse identify as a priority for pt with knee surgery?

where can immunotherapy be given

after receiving report about these postoperative pts, which pt should the nurse assess first

How will you instruct the patient to take precautionary measures when allergic to insect stings

pt receiving immunotherapy has just received an allergen injection. Which finding should report

To provide immediate protection hepatitis B what medication will the nurse administer

the nurse advises a friend who asks him to administer his allergy shots that

postoperative pt has not voided for 8 hours after return to unit What should the nurse do first

A patient who has received allergen testing has itching, swelling at the skin site. 1st action?

What do the nurse anticipate finding when assessing a pt with hematologic disorder & petechiae

which immunologic response increases with age

What foods should the nurse ask the patient to avoid when allergic to latex?

What question related to the skin would be most important for the nurse to ask type 2 diabetic

Which information about a PT had a total abdominal hysterectomy 2 days ago should you tell HCP?

During a preoperative assessment, the nurse assess for latex allergy by asking the patient

what action could the nurse delegate to UAP to help with the transfer of a patient to unit

for someone who experienced intraoperative vomiting The nurse anticipates the use of which drug

RN is assessing a white pt's skin color for cyanosis. The best place for the RN to assess this

Which intraoperative nursing responsibilities should be performed by the scrub nurse

To prevent tissue damage, what instructions are most important for the nurse to teach?

Which results should be reported to the transplant surgeon

drug therapy after a kidney transplant what would indicate a need for further instructions

A leg wound is black in the center with by yellow liquid . Which dressing should be applied?

What information obtained from the chart review should discuss with the anesthesiologis

performs a dressing change on a stage II pressure ulcer. What indicates need further teaching

Which action by the new nurse, , indicates that the orientation was successful

what is example of passive immunity

a patient complains of itching at the site with weakness and dizziness. What action is first

pt with multiple chemical sensitivities. What line of treatment would be appropriate

After receiving a change-of-shift report, which patient should the nurse assess first

If a person is heterozygous for a given gene, it means that the person:

The nurse explains that plasmapheresis is used in her treatment to

What is the clinical use of β-Interferon

A nurse would recognize the need to monitor the pt for hallucinations and agitation with?

Which dermatologic manifestations should the nurse assess with peripheral vascular disease

nurse could delegate care of which patient to a licensed practical/vocational nurse

Association between HLA antigens and disease is most commonly found in what disease condition

Which phenomenon is responsible for the rejection of donor organs and tissue?

what should nurse tell patient about cancer screenings?

A father who has an X-linked recessive disorder and a wife with a normal genotype will:

The nurse would explain that the type of immunity rendered through the vaccination is wha

As the PT is prepared in the operating room what should the nurse do to maintain patient safety

which action when doing a wet-to-dry dressing change on a stage III sacral pressure ulcer

a patient undergoing plasmapheresis. assess the patient for which clinical manifestation

The most common cause of secondary immunodeficiencies is:

What action is appropriate if the pt respiratory rate changes 14 breaths/min to 3 breaths/min

What is the priority intervention by the nurse prior to the start of the procedure?

The nurse notices new bright-red drainage on the dressing. What should the nurse do first

which info will have the most impact on wound healing

Which statement indicate that the patient understands teaching immunosuppressive medications?

What is the best technique for the rn to use to obtain skin temp, turgor, moisture, texture.

a pat is in acute rejection of a transplanted kidney, what would help the nurse understand why

patient with an autoimmunetreated with plasmapheresis. What should the nurse teach?

patient arrives in the er with a swollen ankle after a soccer injury. Which action appropriate?

A patient's tube is draining dark green fluid What action by the nurse is the most appropriate

what finding is most important for the nurse to communicate to the HCP negative pressure wound

What clinical manifestation would indicate that the patient experiencing malignant hyperthermia

Which food should the nurse instruct the patient to avoid during this immunosuppressive therapy

A transfusion reaction is an example of which of these hypersensitivity reactions

what alert RN to possible anaphylactic shock immediately after a patient received im penicillin

A PT complain of 7 on pain scale received ketorolac 30 min ago what should the nurse go