Chapter 11 care of patients with immune and
lymphatic disorders questions with correct answers
You explain the health care provider's order to draw blood for HIV
genotyping. The patient asks, "How does that help in my treatment?"
What is the best explanation for the test?
1. Confirms the presence of a viral autoimmune disease
2. Informs how much of the virus has been replicated
3. Determines the presence of any mutations in the virus
4. Reveals the viral load or count of the virus Correct Answer-3.
Determines the presence of any mutations in the virus
A patient known to be positive for HIV is admitted with oral thrush,
recurrent vaginal yeast infections, and skin infections. What do these
signs indicate?
1. Opportunistic infection
2. Antimicrobial resistance
3. Resistant strain of HIV
4. Sentinel infection Correct Answer-1. Opportunistic infection
Which statement(s) is (are) true regarding HIV transmission? (Select all
that apply.)
1. Breast milk can harbor the virus.
2. Proper use of PPE reduces the risk of disease transmission.
3. Needle exchange programs facilitate the spread of the virus.
,4. Being assessed 2 hours after a bloodborne pathogen exposure
decreases the risk of conversion.
5. Monogamous relationships provide the best defense from the virus.
Correct Answer-1. Breast milk can harbor the virus.
2. Proper use of PPE reduces the risk of disease transmission.
4. Being assessed 2 hours after a bloodborne pathogen exposure
decreases the risk of conversion.
In determining the optimal therapy for a patient infected with HIV, what
would you consider in developing a nursing care plan? (Place in order of
priority.) Correct Answer-1. Clinical data
3. Medication tolerance
2. Compliance with therapy
5. Patient expectations
4. Support system
A nurse is reviewing medication orders for a female patient with SLE
who is positive for the presence of antiphospholipid antibodies. You
would seek clarification from the health care provider about which type
of medication?
1. Oral contraceptives
2. Hydroxychloroquine (antimalarial)
3. Glucocorticoid medication
4. NSAID Correct Answer-1. Oral contraceptives
,A patient has the medical diagnosis of fibromyalgia. Which nursing
problem is the highest priority on this patient's care plan?
1. Airway congestion
2. Inability to comply with treatment regimen
3. Chronic pain
4. Potential for fluid imbalance Correct Answer-3. Chronic pain
You admit an older adult man with NHL. On initial assessment, you
note that the patient is slightly confused, is irritable, is emaciated, has
poor dentition, and is homeless. What is the priority nursing problem?
1. Potential for infection
2. Lack of coping ability
3. Alteration in body image
4. Inadequate knowledge of disease process Correct Answer-1. Potential
for infection
A systemic autoimmune disease affects more than one type of body
tissue or organ. Which would be considered systemic autoimmune
disease(s)? (Select all that apply.)
1. Hodgkin lymphoma
2. Rheumatoid arthritis
3. Systemic lupus erythematosus
4. Goodpasture syndrome
5. Primary lymphedema Correct Answer-2. Rheumatoid arthritis
3. Systemic lupus erythematosus
, 4. Goodpasture syndrome
What are the advantages of performing a RAST? (Select all that apply.)
1. The patient does not have to refrain from taking antihistamine
medications.
2. It is safer for patients with serious heart and lung problems.
3. There is no chance of experiencing an anaphylactic reaction because it
is performed on the blood.
4. It can be used on patients whose skin condition is too severe to
perform skin testing.
5. The results can be obtained within several hours.
6. It has greater specificity for allergens than other tests. Correct
Answer-1. The patient does not have to refrain from taking 1. The
patient does not have to refrain from taking antihistamine medications.
2. It is safer for patients with serious heart and lung problems.
3. There is no chance of experiencing an anaphylactic reaction because it
is performed on the blood.
4. It can be used on patients whose skin condition is too severe to
perform skin testing.
A patient with an immune deficiency disorder is very susceptible to
infection. Which intervention(s) would be used in the care of this
patient? (Select all that apply.)
1. All health care workers should perform scrupulous hand hygiene.
2. The patient should be instructed on how to wear PPE.
3. The patient is placed in contact isolation as soon as possible.
lymphatic disorders questions with correct answers
You explain the health care provider's order to draw blood for HIV
genotyping. The patient asks, "How does that help in my treatment?"
What is the best explanation for the test?
1. Confirms the presence of a viral autoimmune disease
2. Informs how much of the virus has been replicated
3. Determines the presence of any mutations in the virus
4. Reveals the viral load or count of the virus Correct Answer-3.
Determines the presence of any mutations in the virus
A patient known to be positive for HIV is admitted with oral thrush,
recurrent vaginal yeast infections, and skin infections. What do these
signs indicate?
1. Opportunistic infection
2. Antimicrobial resistance
3. Resistant strain of HIV
4. Sentinel infection Correct Answer-1. Opportunistic infection
Which statement(s) is (are) true regarding HIV transmission? (Select all
that apply.)
1. Breast milk can harbor the virus.
2. Proper use of PPE reduces the risk of disease transmission.
3. Needle exchange programs facilitate the spread of the virus.
,4. Being assessed 2 hours after a bloodborne pathogen exposure
decreases the risk of conversion.
5. Monogamous relationships provide the best defense from the virus.
Correct Answer-1. Breast milk can harbor the virus.
2. Proper use of PPE reduces the risk of disease transmission.
4. Being assessed 2 hours after a bloodborne pathogen exposure
decreases the risk of conversion.
In determining the optimal therapy for a patient infected with HIV, what
would you consider in developing a nursing care plan? (Place in order of
priority.) Correct Answer-1. Clinical data
3. Medication tolerance
2. Compliance with therapy
5. Patient expectations
4. Support system
A nurse is reviewing medication orders for a female patient with SLE
who is positive for the presence of antiphospholipid antibodies. You
would seek clarification from the health care provider about which type
of medication?
1. Oral contraceptives
2. Hydroxychloroquine (antimalarial)
3. Glucocorticoid medication
4. NSAID Correct Answer-1. Oral contraceptives
,A patient has the medical diagnosis of fibromyalgia. Which nursing
problem is the highest priority on this patient's care plan?
1. Airway congestion
2. Inability to comply with treatment regimen
3. Chronic pain
4. Potential for fluid imbalance Correct Answer-3. Chronic pain
You admit an older adult man with NHL. On initial assessment, you
note that the patient is slightly confused, is irritable, is emaciated, has
poor dentition, and is homeless. What is the priority nursing problem?
1. Potential for infection
2. Lack of coping ability
3. Alteration in body image
4. Inadequate knowledge of disease process Correct Answer-1. Potential
for infection
A systemic autoimmune disease affects more than one type of body
tissue or organ. Which would be considered systemic autoimmune
disease(s)? (Select all that apply.)
1. Hodgkin lymphoma
2. Rheumatoid arthritis
3. Systemic lupus erythematosus
4. Goodpasture syndrome
5. Primary lymphedema Correct Answer-2. Rheumatoid arthritis
3. Systemic lupus erythematosus
, 4. Goodpasture syndrome
What are the advantages of performing a RAST? (Select all that apply.)
1. The patient does not have to refrain from taking antihistamine
medications.
2. It is safer for patients with serious heart and lung problems.
3. There is no chance of experiencing an anaphylactic reaction because it
is performed on the blood.
4. It can be used on patients whose skin condition is too severe to
perform skin testing.
5. The results can be obtained within several hours.
6. It has greater specificity for allergens than other tests. Correct
Answer-1. The patient does not have to refrain from taking 1. The
patient does not have to refrain from taking antihistamine medications.
2. It is safer for patients with serious heart and lung problems.
3. There is no chance of experiencing an anaphylactic reaction because it
is performed on the blood.
4. It can be used on patients whose skin condition is too severe to
perform skin testing.
A patient with an immune deficiency disorder is very susceptible to
infection. Which intervention(s) would be used in the care of this
patient? (Select all that apply.)
1. All health care workers should perform scrupulous hand hygiene.
2. The patient should be instructed on how to wear PPE.
3. The patient is placed in contact isolation as soon as possible.
