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ATI MED SURG PROCTORED 2019 STUDY GUIDE - Correct Questions & Answers
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  • ATI MED SURG
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  • Chamberlain College Of Nursing

ATI MED SURG PROCTORED 2019 STUDY GUIDE A nurse is admitting a patient with an immunodeficiency to the medical unit. In planning the care of this patient, the nurse should assess for what common sign of immunodeficiency? Chronic diarrhea A nurse is caring for a patient who has an immunodeficien...

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  • April 27, 2022
  • 26
  • 2019/2020
  • Exam (elaborations)
  • Questions & answers

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  • ati med surg proctored 2019
  • study guide
  • a nurse is admitting a patient with an immunodeficiency to the medical unit in planning the care of this patient
  • the nurse should assess for what common sign

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  • Chamberlain College Of Nursing
  • ATI MED SURG
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ATI MED SURG PROCTORED 2019 STUDY GUIDE
A nurse is admitting a patient with an immunodeficiency to the medical unit. In planning the
care of this patient, the nurse should assess for what common sign of immunodeficiency?
Chronic diarrhea
A nurse is caring for a patient who has an immunodeficiency. What assessment finding should
prompt the nurse to consider the possibility that the patient is developing an infection?
Persistent diarrhea
The nurse is applying standard precautions in the care of a patient who has an
immunodeficiency. What are key elements of standard precautions? Select all that apply.
Using appropriate personal protective equipment
Using safe injection practices
Performing hand hygiene

A home health nurse is reinforcing health education with a patient who is immunosuppressed
and his family. What statement best suggests that the patient has understood the nurse's
teaching?
“My family needs to understand that I'll probably need lifelong
treatment.”
1. The nurse is preparing to administer IVIG to a patient who has an immunodeficiency. What
Administer pretreatment medications as ordered 30 minutes prior to
infusion.
nursing guideline should the nurse apply?

A nurse has created a plan of care for an immunodeficient patient, specifying that care
providers take the patient's pulse and respiratory rate for a full minute. What is the rationale
for this aspect of care?
These patients' blunted inflammatory responses can cause subtle
changes in status.
A nurse is providing health education regarding self-care to a patient with an
immunodeficiency. What teaching point should the nurse emphasize?
The need for thorough oral hygiene
A patient's primary immunodeficiency disease is characterized by the inability of white blood
cells to initiate an inflammatory response to infectious organisms.
What is this patient's most likely diagnosis?
Hyperimmunoglobulinemia E syndrome
A nurse is working with a patient who was diagnosed with HIV several months earlier. The
nurse should recognize that a patient with HIV is considered to have AIDS at the point when
the CD4+ T-lymphocyte cell count drops below what threshold?
200 cells/mm3 of blood
A patient has been diagnosed with AIDS complicated by chronic diarrhea.
What nursing intervention would be appropriate for this patient?

,Obtain a stool culture to identify possible pathogens.
An 18-year-old pregnant female has tested positive for HIV and asks the nurse if her baby
going
“It's possible that your baby could contract HIV, either before, to be
during, or after delivery.” born
with
HIV. What is the nurse's best response?

Since the emergence of HIV/AIDS, there have been significant changes in epidemiologic trends.
Members of what group currently have the greatest risk of contracting HIV?
Gay, bisexual, and other men who have sex with men
A hospital patient is immunocompromised because of stage 3 HIV infection and the physician
has ordered a chest radiograph. How should the nurse most safely facilitate the test?
Arrange for a portable x-ray machine to be used
A patient's current antiretroviral regimen includes nucleoside reverse transcriptase inhibitors
(NRTIs). What dietary counseling will the nurse provide based on the patient's medication
regimen?
Take this medication without regard to meals.
A nurse is performing the admission assessment of a patient who has AIDS. What components
should the nurse include in this comprehensive assessment?
Select all that apply.
Current medication regimen
Identification of patient's support system
Immune system function
History of sexual practices
A patient is in the primary infection stage of HIV. What is true of this patient's current health
status?
The patient is infected with HIV but lacks HIV-specific antibodies.
A nurse is aware of the need to assess patients' risks for anaphylaxis. What health care
procedure constitutes the highest risk for anaphylaxis?
Computed tomography with contrast solution
A patient with multiple food and environmental allergies tells the nurse that he is frustrated
and angry about having to be so watchful all the time and wonders if it is really worth it. What
would be the nurse's best response?
“I can only imagine how you feel. Would you like to talk about it?
A nurse is caring for a patient who has allergic rhinitis. What intervention would be most likely
to help the patient meet the goal of improved breathing pattern?
Modify the environment to reduce the severity of allergic symptoms.
The nurse in an allergy clinic is educating a new patient about the pathology of the patient's
health problem. What response should the nurse describe as a possible consequence of
histamine release?
Contraction of bronchial smooth muscle
A patient has presented with signs and symptoms that are consistent with contact dermatitis.
What aspect of care should the nurse prioritize when working with this patient?

, Identifying the offending agent, if possible
A patient's rheumatoid arthritis (RA) has failed to respond appreciably to first-line treatments
and the primary care provider has added prednisone to the patient's drug regimen. What
principle will guide this aspect of the patient's treatment?
The drug should be used for as short a time as possible.
A patient with SLE has come to the clinic for a routine check-up. When auscultating the
patient's apical heart rate, the nurse notes the presence of a distinct “scratching” sound. What
is the nurse's most appropriate action?
Inform the primary care provider that a friction rub may be present.
A nurse is educating a patient with gout about lifestyle modifications that can help control the
signs and symptoms of the disease. What recommendation should the nurse make?
Limiting intake of alcohol
A nurse is planning the care of a patient who has a long history of chronic pain, which has only
recently been diagnosed as fibromyalgia. What nursing diagnosis is most likely to apply to this
woman's care needs?
Ineffective Role Performance Related to Pain

A teenager is diagnosed with cellulitis of the right knee and fails to respond to oral antibiotics.
He then develops osteomyelitis of the right knee, prompting a detailed diagnostic workup that
reveals a phagocytic disorder. This patient faces an increased risk of what complication?
Neutropenia
A patient is admitted for the treatment of a primary immunodeficiency and intravenous
immunoglobulin (IVIG) is ordered. What should the nurse monitor for as a potential adverse
effect of IVIG administration?
Anaphylaxis
A young couple visits the nurse practitioner stating that they want to start a family. The
husband states that his brother died of a severe infection at age 6 months. He says he never
knew what was wrong but his mother had him undergo ìblood testingî as a child. Based on
these statements, what health problem should the nurse practitioner suspect?
X-linked agammaglobulinemia
The parents of a 1-month-old infant bring their child to the pediatrician with symptoms of
congestive heart failure. The infant is ultimately diagnosed with DiGeorge syndrome. What will
prolong this infant's survival?
Thymus gland transplantation
A patient who has received a heart transplant is taking cyclosporine, an immunosuppressant.
What should the nurse emphasize during health education about infection prevention?
Perform frequent hand-washing
The nurse is caring for a patient who has a diagnosis of paroxysmal nocturnal hemoglobinuria.
When planning this patient's care, the nurse should recognize the patient's heightened risk of
what complication?
Venous thromboembolism
A patient diagnosed with common variable immune deficiency (CVID) has been admitted to the
acute medicine unit. When reviewing this patient's laboratory findings, the nurse should
prioritize what values?

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