Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
CHAPTER 16
UNIT 2- MIDTERM
| Question | Answer |
|---|---|
| A 5-year-old child is experiencing itchy, watery eyes and an increased respiratory rate with some inspiratory wheezes. He has been outside playing in the yard and trees. The mother asks, “Why does he get like this?” response is: | “This is what we call a type I hypersensitivity reaction and usually occurs a few minutes after exposure to his allergen. It is primarily caused by mast cells in his body.” |
| A child has experienced a “bee-sting” while at the park. The health care provider is walking by and notices the child has swelling around the eyes, lips, and face in general. What priority assessment should the nurse make at this time? | Assess and establish an open airway. |
| The clinic nurse suspects the client is having a genetically determined hypersensitivity to common environmental allergens since the client is experiencing which of the following clinical manifestations? Select all that apply. | Hives B) Runny nose WHEEZES |
| A client with a long history of “hay fever” has recently begun a series of immunotherapy (allergy shots). This treatment potentially will achieve a therapeutic effect by: | Stimulating production of IgG to combine with antigens |
| Which of the following lab values correlate to the fact that the client has developed a lytic drug reaction and is having an antibody response that lyses the drug-coated cell? Select all that apply. | Low hemoglobin of 9.1 Low platelet level of 10,000 |
| Which of the following clients should the nurse assess for a type III hypersensitivity immune responses resulting in injury to the vascular system? A client admitted with: | Extensive edema associated with acute glomerulonephritis B) Newly diagnosed systemic lupus erythematosus (SLE) |
| Contact with poison ivy has resulted in intense pruritus, erythema, and weeping on a client's forearm. Which of the following processes resulted in the client's signs and symptoms? | Cytokine release by sensitized T cells |
| A client who has undergone a liver transplant 7 weeks ago has developed the following assessment data: ALT/AST elevation; jaundice of skin and sclera; weight gain with increase in abdominal circumference; and low-grade fever. The nurse suspects: | Acute graft rejection |
| A client with a diagnosis of cirrhosis has experienced an acute rejection of a donor liver. Which of the following cells is responsible for the rejection of the client's transplanted organ? | T cells |
| A client with a diagnosis of aplastic anemia has undergone allogenic bone marrow transplantation. Which of the following signs and symptoms would most clearly suggest the existence of graft versus host disease (GVHD)? | Presence of a pruritic rash that has begun to slough off |
| The mechanism by which humans recognize self-cells from non–self (antigens)-cells is called: | Self-tolerance |
| A 70-year-old female client has had her mobility and independence significantly reduced by rheumatoid arthritis. Which of the following processes likely contributed to the development of her health problem? | Failure of normal self-tolerance |
| A client has just been diagnosed with Graves disease. The primary care provider tells the client that this is due to the presence of autoantibodies to the TSH receptor. The client asks the nurse toexplain this in simpler terms. response would be the best | “Hyperthyroidism is basically an autoimmune disorder.” |
| A client has pericarditis following an episode of acute glomerulonephritis, may be attributable to the presence of similar epitopes on group A beta-hemolytic streptococci and the antigens in the client's heart tissue. client's autoimmune response? | Molecular mimicry |
| Which of the following would constitute a normal assessment finding in a neonate? | Minimal or absent levels of IgA and IgM |
| infant has an increased distance between his eyes, a very small jaw, and a split uvula. Thinking this infant might have DiGeorge syndrome, the nurse should be assessing this infant for which of he following electrolyte imbalances? | Tetany due to hypocalcemia |
| Which of the following statements from a group of young adults demonstrates the need for further teaching related to HIV and prevention of the spread? | “Having oral sex is one way I can prevent passing on HIV to my partner.” |
| A client was diagnosed as HIV positive several years ago. Which of the following blood test results reflects the fact that the client now has developed AIDS? | CD4 + T-cell count less than 200 cells/mL |
| HIV-positive persons who display manifestations of laboratory category 3 or clinical category C are considered to have: | AIDS-defining illnesses |
| A client has been admitted to the hospital for the treatment of HIV infection, which has recently progressed to overt AIDS. Which of the following nursing actions should the nurse prioritize when providing care for this client? | Astute infection control and respiratory assessments |
| The nurse caring for a population of HIV clients needs to be assessing for which of the following diseases that amounts to the leading cause of death for people with HIV? | TB |
| The nurse can anticipate which of the following interventions to be prescribed for a client with AIDS who is experiencing involuntary weight loss of more than 10% of baseline body weight and frequent diarrhea daily? Select all that apply. | Enteral or parental nutrition B) Order for megestrol acetate |
| A college student tested positive for HIV on the enzyme-linked immunosorbent assay (ELISA). The student asks, “What is this Western blot assay going to tell you?” The best response by the health care provider is: | “The Western blot is a more sensitive assay that looks for the presence of antibodies to specific viral antigens.” |
| Shortly after being diagnosed with HIV, a client has begun highly active antiretroviral therapy (HAART). The client asks, “My doctor tells me that my viral load is going down. What does that mean?” The nurse's best response is: | “Your HAART medications are working to slow the progression of the disease.” |
| A home health nurse suspects that a child living with his IV drug–abusing mother may have HIV. Which of the following clinical manifestations would confirm this diagnosis? Select all that apply. | Extremely small for his age to the point of failure to thrive B) CNS abnormalities like seizures, difficulty with walking C) Pneumonia culture reveals a fungal infection of the lungs |
Created by:
krystalcarey