Question 1 In conducting an informational session about HIV infection to a local community center, the nurse is aware to reinforce that the fastest growing population for HIV infections is a. White men who have sex with men b. Heterosexual couples c. Hispanic men who have sex with men d. Black/African American men who have sex with men (Correct) Question 2 A nurse is teaching a client who has rheumatoid arthritis (RA). Which of the following pieces of information should the nurse include in the teaching? a. Place pillows under the knees when resting b. Apply ice pack for 45-75 minutes on a stiff joint c. Avoid heavy lifting (Correct) d. Sleep using a soft mattress Question 3 A nurse is caring for a client with Stage 2 breast cancer who is receiving chemotherapy and several radiation treatments. The results of the client's laboratory tests are: WBC 2,400/ul, hemoglobin 12.3 g/dL, platelet count 100,000/UL. serum sodium 145mEq/L, serum potassium 3.4 mEq/L. The client's vital signs are: BP 85/38 mm Hg, HR 118 beats/min, temperature 100.8 F (38.2C), respiratory rate 27 breaths/min. Which of following nursing interventions should be included in the client's plan of care? Select all that apply a. diuretic therapy (Incorrect) b. neutropenic precautions(Correct) c. filgrastim injection (Correct) d. epoetin alfa agents (Incorrect) e. bleeding precautions (Correct) f. platelet transfusion (Incorrect) Question 4 A nurse in an HIV/AIDS unit is caring for a group of clients. The nurse should recommend that which of the following clients be attended to first? a. A 52-year-old client with painful rash around his left upper arm b. A 45-year-old client who is lethargic and having difficulty talking (Correct) c. A 33-year-old client with 3 episodes of diarrhea for the last 16 hours d. A 29-year-old client with sudden onset of yellowish urethral discharge Question 5 The nurse is aware that Cushing's Syndrome can occur with the use of corticosteroids for the management of Systemic Lupus Erythematosus (SLE). Which of the following signs and symptoms should the nurse include in patient teaching? (Select all that apply) a. Lower leg edema (Correct) b. Bruises and petechiae (Correct) c. Hypoglycemia d. Moon face (Correct) e. Excessive menstrual bleeding Question 6 Which of the following interventions is the priority for the client experiencing blood transfusion reaction? a. Obtain blood samples b. Check VS c. Administer oxygen therapy d. Stop the blood transfusion (Correct) Question 7 Active immunity means that the individual has responded to an antigen and produced its own antibodies, lymphocytes are activated and the memory cells formed provide long lasting resistance. True (Correct) False Question 8 The nurse is caring for a 23 yo female client with leukemia unresponsive to chemotherapy and the hematology team has discussed with her the possibility of bone marrow transplant. The client discusses with the nurse the difference between bone marrow and stem cell transplant. Which of the following statements by the client indicates understanding? a. "In both stem cell and bone marrow transplant the stem cells can only be harvested from the client" b. "Neither stem cell or bone marrow transplants require any type of anesthesia" c. "In stem cell and bone marrow transplant the stem cells are removed from the peripheral blood" d. "Both stem cell and bone marrow transplants can fail although from different causes" (Correct)
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