REVIEW 4 Flashcards
(15 cards)
Annie was diagnosed with Systemic Lupus Erythematosus. It is an immune disease which is characterized by multi-system involvement. Nurse Katarina, the nurse assigned to Annie, is aware of the signs and symptoms of SLE which involves the following, except
● rash of the face across the nose bridge of the nose and on the cheeks.
● Blood dyscrasias.
● dementia.
● none of the above
none of the above
The following laboratory findings indicate complications of SLE, except
● increased creatinine.
● ECG changes.
● elevated antinuclear antibody level.
● none of the above.
elevated antinuclear antibody level.
Annie is undergoing continuous treatment of SLE. Which among the following is not an appropriate treatment for SLE?
● Corticosteroids
● Antimalarial drugs
● Plasmapheresis
● None of the above
None of the above
Annie is undergoing periodic plasmapheresis for the treatment of SLE. The purpose of plasmapheresis is to
● suppress the immune system of the patient.
● clear the plasma of antibodies of SLE.
● provide the patient with new antibodies.
● all of the above
all of the above
Annie, with SLE, is scheduled for discharge tomorrow. The following are appropriate discharge instructions for Annie, except
● avoiding sun exposure from 9 – 3 PM.
● maintain 6-8 hours of sleep a day.
● making sure to eat fresh vegetables and fruits.
● applying ice compress to affected joints
making sure to eat fresh vegetables and fruits.
Michael Rodriguez is a 45 year old patient with a history of human immunodeficiency virus who is hospitalized with fever, chills and cough that has lasted for 5 days. The doctor suspects Pneumocystis jiroveci pneumonia. Which of the following isolation precautions should be instituted for Mr. Rodriguez?
● Standard precautions
● Blood and body fluid precautions
● Enteric precautions
● No isolation precaution care needed at this time
Standard precautions
Michael Rodriguez is a 45 year old patient with a history of human immunodeficiency virus who is hospitalized with fever, chills and cough that has lasted for 5 days. The doctor suspects Pneumocystis jiroveci pneumonia. The nurse noted dime-size, non-blanching macules on Mr. Rodriguez’s legs and notified the doctor. These macules may indicate
● petechiae from platelet destruction.
● cutaneous acquired immunodeficiency syndrome.
● telengiectasis.
● Kaposi’s Sarcoma.
Kaposi’s Sarcoma.
Mr. Rodriguez begins alpha interferon therapy for Kaposi sarcoma. The
nurse discusses adverse effects of interferon therapy, which typically
include
● bradycardia.
● thromboembolism.
● influenza-like symptoms.
● hypertension.
influenza-like symptoms.
Michael Rodriguez is a 45 year old patient with history of human immunodeficiency virus who is hospitalized with fever, chills and cough that has lasted for 5 days. The doctor suspects Pneumocyctis jiroveci pneumonia. Based on the current condition of Mr. Rodriguez, you would suspect that the patient is in what stage of HIV/AIDS?
● Primary Infection
● Symptomatic Stage
● Asymptomatic Stage
● Full-blown AIDS
Full-blown AIDS
Mr. Rodriguez is taking Didanosine for his HIV/AIDS. Which among the following will you monitor?
● Creatinine and BUN
● AST and ALT
● Serum Calcium Level
● Serum Amylase
Serum Amylase
Eddard Stark, 56 years old post thyroidectomy with modified neck dissection due to papillary carcinoma of the thyroid gland with lymph node metastasis was admitted for radioactive therapy. He asks the nurse to explain how the radiation therapy he will be receiving for his cancer is effective. What is the nurse’s best response?
● Radiation causes breakage in the strands of DNA helix, which leads to cell
death.
● Oxygen cannot enter cells that have been irradiated, so the cell converts to
anaerobic metabolism that causes its death.
● Radiation is antagonistic to glucose, which cells need for energy replication;
radiation prevents glucose from entering cells leading to cell death.
● Cell walls are broken down by gamma rays during radiation therapy, leading
to cell death.
Radiation causes breakage in the strands of DNA helix, which leads to cell
death.
Eddard Stark, 56 years old post thyroidectomy with modified neck dissection due to papillary carcinoma of the thyroid gland with lymph node metastasis was admitted for radioactive therapy. Prior to admission, he underwent a scan with a test amount of radioactive iodine. If you were the nurse who admitted him, which of the following will you consider as the reason for this intervention?
● To determine existence of known distant metastatic tumor
● To mark the site where the radioactive iodine will be administered
● To measure size of remaining thyroid tissue
● To explore the operative site for the baseline data
To mark the site where the radioactive iodine will be administered
Eddard Stark, 56 years old post thyroidectomy with modified neck dissection due to papillary carcinoma of the thyroid gland with lymph node metastasis was admitted for radioactive therapy. You are formulating a care plan for him, which of the following nursing interventions is least relevant to ensure a safe environment once treatment has started?
● Utilize preferably only disposable items for client’s personal use
● Have all frequently handed items in the room covered with absorbent
material
● Provide hand sanitizers in the corridor outside the client’s room
● Dispose appropriately garbage bags marked radioactive
Have all frequently handed items in the room covered with absorbent
material
As the nurse assigned to care for clients under radiation therapy, you should be aware that you are least protected by the use of
● Rubber gloves
● Thyroid shield
● Lead Apron
● Eye Shield
Rubber gloves
When planning for discharge of the client, safety of other people should also be considered. Which of the following instructions will you consider for
reduction of radioactive exposure to others?
1. Use private toilet facilities and flush 2-3 times after use
2. Wash eating utensils separately from others
3. Maintain adequate fluid intake
4. Bathe daily and wash hands frequently
5. Stay in isolation at home two weeks after the treatment
● All except 3
● 2, 3, and 5
● 2, 4, and 5
● 1, 2, and 4
