NCLEX Exam: Immunologic Disorders (25 Items) - Nurseslabs

For Mikael who is diagnosed of having allergic rhinitis, which nursing intervention is the most appropriate? A B C D Which intervention should Nurse John Joe discuss with Elena who has an allergic disorder and is ...

For Mikael who is diagnosed of having allergic rhinitis, which nursing intervention is the most appropriate? A B C D Which intervention should Nurse John Joe discuss with Elena who has an allergic disorder and is requesting information for allergy symptom control? (Select all that apply.) A B C D E F Which intervention should the nurse implement when caring for a client diagnosed with Pneumocystis carinii pneumonia related to acquired immunodeficiency syndrome who is crying over the loss of friends and family members because they will not talk to him anymore? NCLEX Exam: Immunologic Disorders (25 Items) - Nurseslabs 7/8/16, 8:54 PM http://nurseslabs.com/immunologic-disorders-25-items/ Page 4 of 18 Advising the client not to worry, and telling him everything will be alright Asking the health care provider for a psychiatric consult to assess the client’s mental functioning Sitting down and listening to the client’s concerns and frustrations Telling the client that the friends probably were not true friends anyway Question 4 “I don’t need to wear any type of mask when I’m cleaning my house.” “I should stay in the house when there;s a low pollen count outside.” “I should avoid any types of spray, powders, and perfumes.” “I can wear any type of clothing that I want to as long as I wash it first.” Question 5 “Refrain from exercise because it only aggravates the disease process.” “Apply elastic bandages to all joints to increase the pain threshold.” “Maintain a supine position most of the day to prevent the stress of weight bearing.” “Promote aquatic (water) exercises to enhance joint mobility.” Question 6 Enzyme-linked immunosorbent assay (ELISA) SUDS screening test Antibody titers Skin biopsy for Kaposi’s sarcoma A B C D For Aubrey Anne who has allergies, which client statement indicates that the nurse’s teaching about her condition has be successful? A B C D Mr. Mc Princeton who is diagnosed with rheumatoid arthritis (RA) complains about joints that always hurt, saying, “I just feel like staying in bed all day.” Which discharge instruction would be aimed at maintaining as such function as possible? A B C D Nurse Vince sustained a dirty needle stick injury. Which diagnostic test would be ordered on a client? A B C D NCLEX Exam: Immunologic Disorders (25 Items) - Nurseslabs 7/8/16, 8:54 PM http://nurseslabs.com/immunologic-disorders-25-items/ Page 5 of 18 Question 7 Notifying the health care provider immediately Administering I.M. epinephrine per protocol Beginning oxygen by way of nasal cannula Starting an I.V. line for medication administration Question 8 Applying an occlusive dressing over the inflamed area afterward Washing hands before and after applying the cream Avoiding washing the inflamed area before applying the cream Using alcohol to clean the inflamed area before applying the cream Question 9 Joint edema and tenderness Red, burning, tearing eyes Chest tightness with wheezing on expiration Fever and night sweats Question 10 “Wear large-brimmed hats when exposed to the sun.” “Use tanning beds instead of sunbathing outside.” After the first injection of an immunotherapy program, the nurse notices a large, red wheal on the client’s arm, coughing, and expiratory wheezing. Which intervention should the nurse implement first? A B C D Slater is using a steroidal cream for allergic dermatoses. Which intervention should Nurse Rachel implement for the client? A B C D Which clinical manifestation would cause the nurse to suspect that the client is diagnosed with systemic lupus erythematosus? A B C D April is diagnosed with systemic lupus erythematosus. Which instruction would be included in the teaching plan for the client? A B NCLEX Exam: Immunologic Disorders (25 Items) - Nurseslabs 7/8/16, 8:54 PM http://nurseslabs.com/immunologic-disorders-25-items/ Page 6 of 18 “Remove all rugs, curtains, and dust-collecting items in home.” “Carry injectable epinephrine at all times in case of exacerbation.” Question 11 “Take weekly baths to avoid hydrating the skin.” “Add humidity to the dry air caused by dry heat during the winter.” “Keep the room temperature between 78° and 80° F.” “Apply hot or cold therapy to affected joints.” Question 12 Baking soda is the best treatment for the edema from a bee sting. Hypersensitivity is possible; the client may need to buy an anti-sting kit. The client should not worry; people cannot develop an allergy to bee stings. The client need regular checkups to obtain immunotherapy. Question 13 Anaphylaxis Bronchitis Allergic rhinitis Asthma Question 14 C D Which discharge instruction would be included in the care plan for a client diagnosed with atopic dermatitis? A B C D Theon was stung by a bee now exhibits redness and edema in the hand and forearm. The nurse’s actions would be based on which scientific rationale? A B C D Which condition would Nurse Jade suspect when a client complains of a runny nose, itching and burning eyes, and sneezing since visiting a friend who had a cat in the home? A B C D During the past 6 months, a client diagnosed with acquired immunodeficiency syndrome has had chronic diarrhea and has lost 18 pounds. Additional assessment findings include tented skin turgor, dry mucous membranes, and listleness. Which nursing diagnosis focuses attention on the client’s most immediate problem?