NUR 257 Exam 4 - In the first assessment, the client presents wi...

NUR 257 Exam 4

• A pediatric client is recovering from an anaphylactic reaction to an allergen.

In the first assessment, the client presents with a periorbital accumulation of blood, a common occurrence in children. What type of allergic reaction presents "allergic shiners"?type II type I type IV type III Answer type I

• The nurse reviews laboratory results requested to track HIV. What labora- tory test measures

HIV RNA levels and is the best predictor of HIV disease progression?Enzyme immunoassay (EIA)

CD4/CD8

Western blot Viral load Answer Viral load

• Cryptococcus meningitis is suspected in a client with HIV. Which manifestations would be

consistent with cryptococcus meningitis? Select all that apply. Hyperreflexia Psychomotor slowing Vacant stare Stiff neck Seizures

Answer

Stiff neck Seizures

• A client with AIDS develops pneumocystis pneumonia. The nurse would most likely expect

to include administration of which agent in the client's plan of care?Azithromycin 1 / 4

Aerosolized pentamidine

TMP-SMZ

Clindamycin Answer

TMP-SMZ

• A client is diagnosed with pneumocystis pneumonia (PCP). What medication does the

nurse anticipate educating the client about for treatment?Azithromycin

TMP-SMZ

Cephalexin Garamycin

Answer

TMP-SMZ

• A client comes to the clinic to see the physician, reporting, "I think I ate something that I am

allergic to." What symptoms would be appropriate for the nurse to ask questions about?

Nasal congestion and coughing Hives and itching Sneezing and runny nose Diarrhea and abdominal cramping

Answer

Diarrhea and abdominal cramping

• A nurse is preparing to administer an antiretroviral medication to a client who is positive for

HIV. The nurse identifies the drug as a nucleoside reverse transcriptase inhibitor (NRTI). What drug will the nurse administer?Lamivudine Etravirine Delavirdine Nevirapine

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Answer

Lamivudine

• The nurse is teaching a client with HIV how to use a male condom. The client demonstrates

understanding of the information when he makes which statements? Select all that apply."I can keep several condoms in my wallet in my back trouser pocket so they are readily available." "I should avoid using baby oil or petroleum jelly with a condom." "I need to hold the condom by the tip to squeeze out the air before putting it on." "I can reuse a condom two or three times when I'm having sexual intercourse." "I should unroll the condom all the way over my erect penis."

Answer

"I need to hold the condom by the tip to squeeze out the air before putting it on." "I should unroll the condom all the way over my erect penis." I should avoid using baby oil or petroleum jelly with a condom."

• A nurse is caring for a client with human immunodeficiency virus (HIV). What would the

nurse expect the health care provider to order to determine the effectiveness of treatment?ELISA with Western blot test enzyme-linked immunosorbent assay (ELISA) E-rosette immunofluorescence quantification of T-lymphocytes

Answer

quantification of T-lymphocytes

• The nurse is preparing to administer the recommended dose of intra- venous gamma-

globulin for a 60-kg male client. How many grams will the nurse administer?30 g 90 g 15 g 60 g

Answer

30 g

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• A client received 2 units of packed red blood cells while in the hospital with rectal bleeding.

Three days after discharge, the client experienced an allergic response and began to itch and break out with hives. What type of reaction does the nurse understand could be occurring?Anaphylactic reaction Delayed hypersensitivity response Sensitization An immediate hypersensitivity response

Answer

Delayed hypersensitivity response

• The nurse's plan of care for a client with stage 3 HIV addresses the diagnosis of Risk for

Impaired Skin Integrity Related to candidiasis. What nursing intervention best addresses this risk?Applying skin emollients as needed Providing thorough oral care before and after meals Administering prophylactic antibiotics Promoting nutrition and adequate fluid intake

Answer

Providing thorough oral care before and after meals

• A treatment option for severe combined immune deficiency (SCID) includes

IV immunoglobulin. chemotherapy.vitamin D supplements.a stem cell transplant.

Answer

a stem cell transplant

• Which term defines the balance between the amount of HIV in the body and the immune

response?Viral clearance rate Window period Primary infection stage Viral set point

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