ATI Targeted Immune 2016

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A nurse is teaching the parent of a child about administration guidelines for the human papilloma virus (HPV) vaccine. Which of the following information should the nurse include?
Three doses are administered to adolescents who start the series after age 15.
A nurse is providing teaching to a client who has rheumatoid arthritis and reports persistent pain. Which of the following responses should the nurse make?
"Ask a friend or a family member to help with household chores."
A nurse is providing teaching to a client who has an allergy to peanuts. Which of the following instructions is the priority to include in the teaching?
Carry an emergency anaphylaxis kit.
A nurse is providing teaching to a client who has systemic lupus erythematosus (SLE). Which of the following statements by the client indicates an understanding of the teaching?
"I should wear gloves when it is cold outside."
A nurse is providing teaching to a client who is scheduled for a Papanicolaou (Pap) test. The nurse should inform the client that she is being tested for which of the following?
Cervical cancer
A nurse is reviewing the daily laboratory results for a female client who has acute leukemia. Which of the following values is an expected finding?
WBC count 21,000/mm3
A nurse is caring for a client who reports a skin change. Which of the following findings should the nurse report to the provider?
An asymmetrical papule that is pigmented
A nurse is educating a client who is scheduled for a kidney transplant. Which of the following information about hyperacute rejection should the nurse include in the teaching?
The organ will need to be removed if hyperacute rejection occurs.
A nurse is caring for a client who has viral pneumonia. Which of the following findings should the nurse report to the provider immediately?
Left shift in WBC differential
A nurse is providing teaching to a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following should the nurse include in the teaching?
Avoid crowds.
A nurse is providing discharge teaching for a client who is HIV-positive. Which of the following instructions should the nurse include in the teaching?
Discard beverages that have been unrefrigerated for 1 hr.
A nurse is caring for a client who has a new prescription for clindamycin to treat acute pelvic inflammatory disease. The nurse should monitor for and report which of the following findings to the provider immediately?
Watery diarrhea
A nurse is assessing a client who has HIV. Which of the following findings should cause the nurse to suspect that the client's diagnosis has progressed to AIDS?
Small, purple-colored skin lesions
A nurse is caring for a client who has non-Hodgkin's lymphoma and is receiving chemotherapy. Which of the following is the priority assessment finding?
Erythema at the IV insertion site
A nurse is reviewing the laboratory report for a client who has Hodgkin's lymphoma. Which of the following findings should the nurse expect?
Reed-Sternberg cells
A nurse is planning an education program about testicular cancer for a group of male adolescents. Which of the following information should the nurse include?
Examine the testicles immediately after showering.
A nurse is caring for a client who has leukemia and a platelet count of 48,000/mm3. Which of the following actions should the nurse take?
Test the client's urine and stool for occult blood.
A nurse is caring for a client who is admitted with enlarged lymph nodes and a fever. To confirm a diagnosis of bacterial pharyngitis, the nurse should anticipate which of the following diagnostic tests?
Throat culture
A nurse is caring for a client who has HIV. Which of the following laboratory findings should suggest to the nurse that medication therapy is effective?
Decreased viral load
A nurse in the emergency department is assessing a newly admitted client. Which of the following findings places the client at increased risk for contracting hepatitis B?
Engaging in unprotected sexual intercourse
A nurse is assessing a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? (Select all that apply.)
Decreased urine output, Butterfly rash, Joint inflammation
A nurse is planning an education program for a group of high school teachers who will be taking students on a hike. Which of the following information should the nurse include regarding Lyme disease?
"If you develop pain and stiffness in your joints, you should see your doctor."
A nurse is providing care for four clients. Which of the following clients is at the greatest risk for pneumonia?
An older adult client who has dysphagia
A nurse is providing teaching to a client who has a new prescription for amoxicillin to treat a respiratory infection. Which of the following statements by the client indicates an understanding of the teaching?
"I will use a backup method of birth control while I am taking this medication."
A nurse is performing a breast examination on a female client who is pregnant. Which of the following findings should the nurse report to the provider?
Breast tissue with an orange-peel appearance
A nurse is providing teaching to a client who has Hodgkin's lymphoma and is undergoing external radiation treatment. Which of the following instructions should the nurse include?
Avoid direct sun exposure to the skin.
A nurse is caring for a client who has neutropenia. Which of the following findings indicates a need for intervention?
The client's granddaughter is visiting and telling him about her first day of kindergarten.
A nurse is providing teaching to a group of clients regarding prevention of skin cancer. Which of the following risk factors should the nurse include in the teaching?
Light skin pigmentation
A nurse is caring for a client who has an elevated prostate-specific antigen level. The nurse should anticipate that the client will undergo which of the following diagnostic tests?
Digital rectal examination
A nurse is teaching a client who is receiving chemotherapy. The client's laboratory results indicate bone marrow suppression. Which of the following instructions should the nurse include in the teaching?
"Bathe with an antimicrobial soap twice per day."