Question 1

The nurse is assisting in the care of a patient with ankylosing spondylitis. What should the nurse expect to find in the patient's collaborative plan of care? (Select all that apply.)

Accepted Answer

The answer of The nurse is assisting in the care...

Question 2

The nurse is administering methylprednisolone (Solu-Medrol) 40 mg IM to a patient with SLE. The available dose is 80 mg/mL. How many mL will the nurse administer? Enter the numeral only.

Accepted Answer

The answer of The nurse is administering methylprednisolone (Solu-Medrol) 40...

Question 3

The nurse is assessing a patient with pernicious anemia. Which clinical manifestations can the nurse expect to document? (Select all that apply.)

Accepted Answer

Pallor, weakness, glossitis, and peripheral neuropathy are all clinical manifestations of pernicious anemia.

Question 4

The nurse is contributing to the teaching plan for a patient diagnosed with Hashimoto thyroiditis who has progressed to hypothyroidism with a goiter. Which self-care instructions should the nurse recommend? (Select all that apply.)

Accepted Answer

The answer of The nurse is contributing to the teaching...

Question 5

The nurse is caring for a patient who develops a hemolytic reaction during a blood transfusion. The nurse should expect to implement which order from the HCP first?

Accepted Answer

Administering diphenhydramine (Benadryl) 50 mg IV is the first action the nurse should take in response to a hemolytic reaction during a blood transfusion. Diphenhydramine is an antihistamine that can help manage allergic reactions, which are a component of hemolytic reactions.

Question 6

A patient with SLE is prescribed Prednisone, 60 mg PO, in three equal doses. If using 5-mg tablets, how many tablets should the nurse provide for each dose?

Accepted Answer

The answer of A patient with SLE is prescribed Prednisone,...

Question 7

The nurse is contributing to the plan of care for a patient with SLE. Which interventions should the nurse recommend for this patient? (Select all that apply.)

Accepted Answer

Patients with Systemic Lupus Erythematosus (SLE) should eat a balanced diet to support overall health and immune function. Reporting "foamy urine" is important as it can indicate kidney involvement, which is common in SLE. Using a daily personal schedule helps in managing fatigue, a common symptom in SLE, by allowing for planned rest periods and activity management.

Question 8

A patient is receiving a transfusion of packed RBCs. Ten minutes after the infusion begins, the patient reports low back pain and a headache. Place the actions in order, from 1 to 5, of importance of performance.
A) ___ Stop the blood infusion.
B) ___ Notify the physician STAT.
C) ___ Obtain vital signs and assess patient.
D) ___ Start the new 0.9% normal saline infusion.
E) ___ Prepare a new 0.9% normal saline infusion.

Accepted Answer

The answer of A patient is receiving a transfusion of...

Question 9

The nurse applies clean, white, cotton socks over the hands of a patient with contact dermatitis. What should the nurse explain to the patient about the purposes of this intervention? (Select all that apply.)

Accepted Answer

A) Cotton is a breathable fabric that allows for air movement, helping to keep the skin dry and reduce irritation. B) White cotton is free from dyes that could potentially irritate the skin further, making it a safer choice for someone with contact dermatitis. E) Covering the hands can help to minimize scratching, especially unconsciously during sleep, which can prevent further skin damage and promote healing.

Question 10

The nurse is caring for a group of patients. Which patient should the nurse see first?

Accepted Answer

The patient experiencing angioedema after an insect sting should be seen first due to the potential for airway obstruction, which can be life-threatening. Immediate assessment and intervention are critical.

Quiz 19: Nursing Care of Patients With Immune Disorders