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Immunity Spring 2022 Flashcards | StudBud
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Immunity Spring 2022
Immunity Spring 2022
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1
Which of the following assessment findings in a client with leukemia would indicate that cancer has invaded the brain?
Inguinal adenopathy
Increased heart rate and decreased blood pressure
Headache and vomiting
Hypervigilant and anxious behavior
2
Which assignment would be most appropriate to assign to the pregnant nurse?
A pt. with herpes zoster
A pt. with HIV
A pt. with Covid-19
A pt. with a cervical radium implant
3
Which of the following immunizations should not be given to a 4-month-old sibling of a client with leukemia?
Diphtheria and tetanus and pertussis (DPT) vaccine
Haemophilus influenzae type b vaccines (Hib)
Hepatitis B vaccine
Oral poliovirus vaccine (OPV)
4
The nurse is planning discharge teaching for a pt. post splenectomy. Which should the nurse include?
"Eat raw fruits and vegetables."
"Avoid crowds and people who are sick."
"Avoid environmental allergens."
"Do not play contact sports."
5
The RN is teaching the graduate RN about caring for pt.s with HIV. Which action indicates effective learning?
Allowing a 2-year old cousin to visit
Putting fresh flowers at the nurse's station instead of the pt.'s room
Serving sushi, raw seafood, or raw meats
Encouraging the client to eat fresh fruits and vegetables
6
A client with leukemia has neutropenia. Which nursing assessment is
priority
?
Breath sounds
Blood pressure
Bowel sounds
Heart sounds
7
A child in the ped’s clinic c/o bone and joint pain. Which of the following other assessment findings may sugest cancer?
Increased appetite
Abdominal pain
Increased activity level
Petechiae
8
Which of the following medications usually is given to a pt. with HIV as prophylaxis against P. carinii pneumonia?
Vincristine
Oral nystatin suspension
Sulfamethoxazole and trimethoprim
Prednisone
9
A pt. with lymphoma presents with s/s of impending septic shock after chemotherapy. Which would the nurse expect to see?
High-grade fever, normal blood pressure, increased respirations
Flushing, decreased oxygen saturation, mild hypotension
Low-grade fever, chills, tachycardia
Elevated temperature, oliguria, hypertension
10
Nausea and vomiting are common adverse effects of chemotherapy. When should a nurse administer antiemetics?
Immediately after nausea begins
30 minutes before the initiation of therapy
With the administration of therapy
When therapy is completed
11
The nurse's friend asks her to administer his allergy shot. The nurse advises:
avoiding the allergens is a more effective than immunotherapy
immunotherapy should only be administered with emergency equipment present
she will only do it if the friend has epinephrine in an injectable syringe
it's illegal for her to administer injections outside a medical setting.
12
The nurse is caring for a female client experiencing neutropenia from chemotherapy. The nurse plans to include:
Restrict fluid intake
Insert an indwelling urinary catheter to prevent skin breakdown
Restrict all visitors
Teach the client and family about the need for hand hygiene
13
A nurse is teaching the pt. about neutropenia from chemo. What should she teach a reliable indicator of infection?
Dyspnea
Chills
Fever
Tachycardia
14
A nurse from the oncology unit is floated to the ICU. Which assignment is most appropriate for the oncology nurse?
A pt. with sepsis who has been on the ventilator for 5 days.
A post-op pt needing 2 units of blood before being transferred to the floor
A newly admitted client with respiratory failure on a CPAP machine
A pt. with post-op delirium, removing tubes, and trying to get out-of-bed
15
Which of the following patients would be most appropriate to assign to the same room as a pt. with HIV?
A patient receiving chemotherapy for colon cancer
A patient being treated for a pressure ulcer
A patient diagnosed with shingles
A patient diagnosed with c. difficile
16
Which of the following are the three main consequences of leukemia?
Bone deformities, spherocytosis, and infection
Anemia, infection, and bleeding tendencies
Polycythemia, decreased clotting time, and infection
Lymphocytopoiesis, growth delays, and hirsutism
