What education is most important for a pt. taking prednisone to prevent transplant rejection?

“Avoid large crowds and people who are ill.”

Which dietary strategy is most appropriate to teach a pt. on how to prevent gout exacerbations?

“Drink 1 to 2 liters of water each day.”

A pt. with an infection has a fever. What nurse action helps increase the client’s comfort?

Offer cool fluids to the client frequently.

What nurse action will help prevent a client from having a type II hypersensitivity reaction?

Correctly identifying the pt. prior to a blood transfusion

Which statements are true regarding Standard Precautions?

Wear gloves when touching client excretions or secretions.

A pt. w/ fibromyalgia is prescribed Cymbalta. Why is the pt. prescribed an antidepressant?

“This drug works in the brain to decrease pain.”

The organs of the immune system are:

Bone marrow, thymus, spleen, & lymph nodes

A nurse works in an allergy clinic. What task performed by the nurse takes priority?

Checking emergency equipment each morning

In the rheumatology clinic, which rheumatoid arthritis (RA) pt. should the nurse see first?

Client with a red, hot, swollen right wrist

A pt. receiving IV antibiotics presents an appearance as shown. What nurse action is priority?

Ensure a patent airway while calling the Rapid Response Team

After educating on the use of an EpiPen, what statement indicates the need for more education?

“I don’t need to go to the hospital after using it.”

A student nurse learns the most important function of inflammation & immunity is which purpose?

Providing protection against invading organisms

A client is being admitted with suspected tuberculosis (TB). What action by the nurse are best?

Order specialized masks/respirators for caregiving.

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NC V Immune

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Questions having to do with caring for patients with abnormal immune issues and organ transplants.

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Questions 20

Answers

1
What education is most important for a pt. taking prednisone to prevent transplant rejection?
“Check over-the-counter meds for acetaminophen.”
“You have a higher risk of developing cancer.”
“Take this medicine exactly as prescribed.”
“Avoid large crowds and people who are ill.”
2
Which dietary strategy is most appropriate to teach a pt. on how to prevent gout exacerbations?
“Drink 1 to 2 liters of water each day.”
“Liver is a good source of iron.”
“Have 10 to 12 ounces of juice a day.”
“Never eat hard cheeses or sardines.”
3
Which individual is typically the best donor of an organ?
Parent
Same-sex sibling
Identical twin
Child
4
What recommendation is best to help prevent osteoarthritis (OA)?
Get plenty of calcium.
Engage in weight-bearing exercise.
Lose weight if needed.
Avoid contact sports.
5
A pt. with an infection has a fever. What nurse action helps increase the client’s comfort?
Offer cool fluids to the client frequently.
Provide a fan to help cool the client.
Place ice bags in the armpits and groin
Administer antipyretics around the clock
6
What nurse action will help prevent a client from having a type II hypersensitivity reaction?
Administering steroids for severe serum sickness
Keeping the pt. free of the offending agent
Correctly identifying the pt. prior to a blood transfusion
Providing a latex-free environment for the pt.
7
Which statements are true regarding Standard Precautions?
Always wear a gown when performing hygiene on clients.
Sneeze into your sleeve or into a tissue you throw away.
Wear gloves when touching client excretions or secretions.
Remain 3 feet away from any client who has an infection.
8
A pt. w/ fibromyalgia is prescribed Cymbalta. Why is the pt. prescribed an antidepressant?
“Depression often accompanies fibromyalgia.”
“You will have more energy after taking this drug.”
“This drug works in the brain to decrease pain.”
“A little sedation will help you get some rest.”
9
A client is started on etanercept (Enbrel). What teaching by the nurse is most appropriate?
Using heat on the injection site
Taking the medication with food
Giving subcutaneous injections
Having a chest x-ray once a year
10
The organs of the immune system are:
Spleen, pancreas, thymus, & liver
Thyroid, thymus, liver, & spleen
Liver, heart, lungs, & spleen
Bone marrow, thymus, spleen, & lymph nodes
11
A nurse works in an allergy clinic. What task performed by the nurse takes priority?
Teaching clients how to manage their allergies
Checking emergency equipment each morning
Ensuring informed consent is obtained as needed
Providing educational materials in several languages
12
The nurse understands that which type of immunity is the longest acting?
Natural active
Natural passive
Artificial active
Inflammatory
13
In the rheumatology clinic, which rheumatoid arthritis (RA) pt. should the nurse see first?
Client with a worse joint deformity since the last visit
Client who reports jaw pain when eating
Client who has a puffy-looking area behind the knee
Client with a red, hot, swollen right wrist
14
A client is admitted with possible sepsis. Which action should the nurse perform first?
Give an antipyretic.
Obtain specified cultures.
Administer antibiotics.
Place the client in isolation.
15
A pt. receiving IV antibiotics presents an appearance as shown. What nurse action is priority?
Administer epinephrine 1:1000, 0.3 mg IV push immediately.
Apply oxygen by facemask at 100% and a pulse oximeter.
Ensure a patent airway while calling the Rapid Response Team
Reassure the client that these manifestations will go away.
16
What nonpharmacologic tx. is used for a pt. with RA & acutely swollen, red, & painful joint.
Wax dip
Heating pad
Splints
Ice packs
17
After educating on the use of an EpiPen, what statement indicates the need for more education?
“I must carry two EpiPens with me at all times.”
“I don’t need to go to the hospital after using it.”
“I will write the expiration date on my calendar.”
“This can be injected right through my clothes.”
18
A student nurse learns the most important function of inflammation & immunity is which purpose?
Destroying bacteria before damage occurs
Preventing any entry of foreign material
Regulating the process of self-tolerance
Providing protection against invading organisms
19
A client is being admitted with suspected tuberculosis (TB). What action by the nurse are best?
Order specialized masks/respirators for caregiving.
Maintain a distance of 3 feet from the client at all times.
Other than wearing gloves, no special actions are needed
Wash hands with chlorhexidine after providing care.
20
Which factor is the best and most important barrier to infection?
Colonization by host bacteria
Inflammatory processes
Gastrointestinal secretions
Skin and mucous membranes

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