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Question 1 of 15
1. Question
The nurse prepares to give a bath and change the bed linens of a client with cutaneous Kaposi’s sarcoma lesions. The lesions are open and draining a scant amount of serous fluid. Which would the nurse incorporate into the plan during the bathing of this client?
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Question 2 of 15
2. Question
The nurse provides home care instructions to a client with systemic lupus erythematosus and tells the client about methods to manage fatigue. Which statement by the client indicates a need for further instruction?
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Question 3 of 15
3. Question
A client develops an anaphylactic reaction after receiving morphine. The nurse should plan to institute which actions? Select all that apply.
- Administer oxygen.
- Quickly assess the client’s respiratory status.
- Document the event, interventions, and client’s response.
- Leave the client briefly to contact a primary health care provider(PHCP).
- Keep the client supine regardless of the blood pressure readings.
- Start an intravenous (IV) infusion of D5W and administer a 500-mL bolus.
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Question 4 of 15
4. Question
The nurse is conducting a teaching session with a client on their diagnosis of pemphigus. Which statement by the client indicates that the client understands the diagnosis?
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Question 5 of 15
5. Question
The nurse is assisting in planning care for a client with a diagnosis of immunodeficiency and should incorporate which action as a priority in the plan?
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Question 6 of 15
6. Question
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 reaction because the client’s neighbor experienced such a reaction just 1 week ago. Which action should the nurse take?
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Question 7 of 15
7. Question
The community health nurse is conducting a research study and is identifying clients in the community at risk for latex allergy. Which client population is most at risk for developing this type of allergy?
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Question 8 of 15
8. Question
Which interventions apply in the care of a client at high risk for an allergic response to a latex allergy? Select all that apply.
- Use nonlatex gloves.
- Use medications from glass ampules.
- Place the client in a private room only.
- Keep a latex-safe supply cart available in the client’s area.
- Avoid the use of medication vials that have rubber stoppers.
- Use a blood pressure cuff from an electronic device only to measure the blood pressure.
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Question 9 of 15
9. Question
A client presents at the primary health care provider’s office with complaints of a ring-like rash on his upper leg. Which question should the nurse ask first?
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Question 10 of 15
10. Question
A client is diagnosed with scleroderma. Which intervention should the nurse anticipate to be prescribed?
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Question 11 of 15
11. Question
A client arrives at the health care clinic and tells the nurse that she was just bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that she removed the tick and flushed it down the toilet. Which actions are most appropriate? Select all that apply.
- Tell the client that testing is not necessary unless arthralgia develops.
- Tell the client to avoid any woody, grassy areas that may contain ticks.
- Instruct the client to immediately start to take the antibiotics that are prescribed.
- Inform the client to plan to have a blood test 4 to 6 weeks after a bite to detect the presence of the disease.
- Tell the client that if this happens again, to never remove the tick but vigorously scrub the area with an antiseptic.
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Question 12 of 15
12. Question
The nurse is preparing a group of Cub Scouts for an overnight camping trip and instructs the Scouts about the methods to prevent Lyme disease. Which statement by one of the Scouts indicates a need for further instruction?
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Question 13 of 15
13. Question
The client with acquired immunodeficiency syndrome is diagnosed with cutaneous Kaposi’s sarcoma. Based on this diagnosis, the nurse understands that this has been confirmed by which finding?
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Question 14 of 15
14. Question
The nurse is conducting allergy skin testing on a client. Which post procedure interventions are most appropriate? Select all that apply.
- Record site, date, and time of the test.
- Give the client a list of potential allergens if identified.
- Estimate the size of the wheal and document the finding.
- Tell the client to return to have the site inspected only if there is a reaction.
- Have the client wait in the waiting room for at least 1 to 2hours after injection.
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Question 15 of 15
15. Question
The nurse is performing an assessment on a client who has been diagnosed with an allergy to latex. In determining the client’s risk factors, the nurse should question the client about an allergy to which food item?
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