Exam (elaborations)
SAUNDERS NCLEX IMMUNE DISORDERS EXAM 2024 (ACTUAL EXAM QUESTIONS AND ANSWERS)
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QUESTIONS AND ANSWERS
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SAUNDERS NCLEX IMMUNEDISORDERS EXAM 2024
(ACTUAL EXAM QUESTIONS
AND ANSWERS)
The nurse provides home care instruc2ons to a client with systemic lupus
erythematosus and tells the client about methods to manage fa2gue. Which
statement by the client indicates a need for further instruc2on?
1.
"i should take hot baths because they are relaxing."
2.
"i should sit whenever possible to conserve my energy."
3.
"i should avoid long periods of rest because it causes joint s2ffness."
4.
"i should do some exercises, such as walking, when i am not fa2gued."
1.
"i should take hot baths because they are relaxing."
The nurse is conduc2ng a teaching session with a client on their diagnosis of
pemphigus. Which statement by the client indicates that the client understands
the diagnosis?
,1.
"my skin will have 2ny red vesicles."
2.
"the presence of the skin vesicles is caused by a virus."
3.
"i have an autoimmune disease that causes blistering in the epidermis."
4.
"the presence of red, raised papules and large plaques covered by silvery scales
will be present on my skin."
3.
"i have an autoimmune disease that causes blistering in the epidermis."
The nurse is assis2ng in planning care for a client with a diagnosis of
immunodeficiency and should incorporate which ac2on as a priority in the
plan?
1.
Protec2ng the client from infec2on
2.
Providing emo2onal support to decrease fear
3.
Encouraging discussion about lifestyle changes
,4.
Iden2fying factors that decreased the immune func2on
1.
Protec2ng the client from infec2on
A client calls the nurse in the emergency department and states that he was
just stung by a bumblebee while gardening. The client is afraid of a severe
reac2on because the client's neighbor experienced such a reac2on just 1 week
ago. Which ac2on should the nurse take?
1.
Advise the client to soak the site in hydrogen peroxide.
2.
Ask the client if he ever sustained a bee s2ng in the past.
3.
Tell the client to call an ambulance for transport to the emergency department.
4.
Tell the client not to worry about the s2ng unless difficulty with breathing
occurs.
2.
Ask the client if he ever sustained a bee s2ng in the past.
The community health nurse is conduc2ng a research study and is iden2fying
clients in the community at risk for latex allergy. Which client popula2on is
most at risk for developing this type of allergy?
, 1.
Hairdressers
2.
The homeless
3.
Children in day care centers
4.
Individuals living in a group home
1.
Hairdressers
Which interven2ons apply in the care of a client at high risk for an allergic
response to a latex allergy? Select all that apply.
1.
Use nonlatex gloves.
2.
Use medica2ons from glass ampules.
3.
Place the client in a private room only.
4.
Keep a latex-safe supply cart available in the client's area.
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