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Exam (elaborations)

RN Immunologic System and Infectious Diseases

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RN Immunologic System and Infectious Diseases

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  • September 13, 2024
  • 7
  • 2024/2025
  • Exam (elaborations)
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RN Immunologic System and Infectious Diseases EAQ-
Verified Solution

A tuberculin skin test with purified protein derivative (PPD) tuberculin is performed
as part of a routine physical examination. When does the nurse instruct the client to
make an appointment so the test can be read? - ANSWER: 48-72 hours

A laboratory report shows that a client tested positive for human epidermal growth
factor (HER), and a medical report reveals the presence of advanced breast cancer.
Which medication would be used to treat this condition? - ANSWER: Lapatinib

A client with tuberculosis is prescribed rifampin. What does the nurse teach the
client about this medication? Select all that apply. - ANSWER: "Avoid drinking alcohol
while you are on this drug."

"Report immediately if you find a yellow appearance to the skin."

"Your soft contact lenses will become permanently stained with this drug."

Which symptoms are observed in a client with Sjögren's syndrome? Select all that
apply. - ANSWER: Toothy decay
Corneal ulcers
Vaginal dryness

The nurse is caring for a client who is receiving treatment via intrathecal therapy.
The client reports a headache and neck stiffness. Upon assessment, the nurse finds
that the client's body temperature is 103 °F. Which condition should the nurse
suspect in the client? - ANSWER: Meningitis

A client with scleroderma reports having difficulty chewing and swallowing. What
should the nurse recommend to safely facilitate eating? - ANSWER: Eat a mechanical
soft diet

The nurse is providing discharge instructions to a client who is recovering from an
acute case of viral hepatitis. Which statement by the client indicates a need for
further education? - ANSWER: "I will take acetaminophen for pain father than
aspirin."

A client reports hair loss, joint pain, and a facial rash. The nurse documents the
presence of a butterfly rash on the face in the client's medical record. Which
disorder does the nurse suspect? - ANSWER: Systemic lupus erythematosus

A nurse is concerned about the public health implications of gonorrhea diagnosed in
a 16-year-old adolescent. Which should be of most concern to the nurse? - ANSWER:
Finding the client's sexual contacts

, Which point in the figure is the site for salpingitis in a client with gonorrhea? -
ANSWER: A

The nurse is caring for a client with human immunodeficiency virus (HIV) infection.
Which clinical manifestations in the client should be immediately reported to the
primary healthcare provider? - ANSWER: Blood in the urine

A client who has been living in another country for 10 years is undergoing diagnostic
testing to identify the causative organisms of the infection that has been acquired.
When caring for this client, what should the nurse recall about active immunity? -
ANSWER: Protein substances are formed within the body to neutralize antigens.

Which is the first antibody formed after exposure to an antigen? - ANSWER: IgM

Which medications are administered to inhibit purine synthesis and suppress cell-
mediated and humoral immune responses? Select all that apply. - ANSWER:
Azathioprine

Mycophenolate mofetil

Which sexually transmitted infection (STI) is caused by Treponema pallidum? -
ANSWER: Syphilis

Which bacteria colonies are commonly found in a client's large intestine? - ANSWER:
Escherichia coli

Which diseased condition associated with the client's heart is an example of an
autoimmune disease? - ANSWER: Rheumatic fever

Which type of hepatitis virus spreads through contaminated food and water? -
ANSWER: Hepatitis A virus

A client who abused intravenous drugs was diagnosed with the human
immunodeficiency virus (HIV) several years ago. What does the nurse explain to the
client regarding the diagnostic criterion for acquired immunodeficiency syndrome
(AIDS)? - ANSWER: Has a CD4+T-cell lymphocyte level of less than 200 cells/µL (60%)

Which autoimmune disease is directly related to the client's central nervous system?
- ANSWER: Multiple sclerosis

What is the role of the plasma cell in the antigen-antibody response? - ANSWER:
Produces antibodies against the sensitizing antigen

What is the mechanism of action of penicillin? - ANSWER: Inhibits cell wall synthesis
of the pathogen

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