ATI Medical-Surgical Test Prep: Immune and Infectious, Exam Questions & Answers
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Course
ATI Medical-Surgical: Immune and Infectious
Institution
ATI Medical-Surgical: Immune And Infectious
ATI Medical-Surgical Test Prep: Immune and Infectious, Exam Questions & Answers-A nurse is collecting data from a client who has had systemic scleroderma for 5 years. In addition to skin changes, which of the following findings should the nurse expect?
A. Excessive salivation
B. Finger contractur...
ATI Medical-Surgical Test Prep: Immune and Infectious,
Exam Questions & Answers
A nurse is collecting data from a client who has had systemic scleroderma for 5 years. In
addition to skin changes, which of the following findings should the nurse expect?
A. Excessive salivation
B. Finger contractures
C. Periorbital edema
D. Alopecia - B. Finger contractures
Scleroderma is a chronic disease that can cause thickening, hardening or tightening of the
skin, blood vessels and internal organs. There are 2 types: localized scleroderma, which
mainly affects the skin, and systemic scleroderma which may affect many internal
organs. The symptoms include skin changes, Raynaud's disease, arthritis, muscle
weakness, and dry mucous membranes. With scleroderma, the body produces and
deposits too much collagen, causing thickening and hardening. in addition to the clients
skin and subcutaneous tissues becoming increasing hard and rigid, the extremities stiffen
and lose mobility. Contractures develop with advanced systemic scleroderma unless
clients follow a regimen of range of motion and muscle strengthening exercises
A nurse is caring for a client who is HIV-positive is reinforcing teaching about the
earliest manifestations of AIDS. The nurse explains that they include which of the
following?
A. Persistent fever, swollen glands, diarrhea, weight loss, and fatigue
B. Elevated WBC count
C. Increased blood pressure, tachycardia, dyspnea and edema
D. Influenza-like symptoms including fatigue, sore throat, muscle pain, headache and
swollen glands - A. Persistent fever, swollen glands, diarrhea, weight loss, and fatigue
A client diagnosed with systemic lupus erythematosus (SLE) is concerned about skin
lesions on the face and neck. the client asks the nurse, "what should I do about these
spots?" which of the following nursing responses is appropriate?
A. "Keep the lesions covered with a light sterile dressing when going outdoors"
B. "There is not much you can do. The lesions will go away when your disease is in
remission"
C. "Apply moisturizer after bathing the lesions with warm water"
, D. "Apply antibiotic cream twice a day until scabs form on the lesions" - C. "Apply
moisturizer after bathing the lesions with warm water"
A client who tests positive for the human immmunodeficiency virus (HIV) asks the
nurse, " should i tell my partner that I am an HIV positive/" which of the following is
appropriate nursing response?
A. "That is your decision alone"
B. "I would if I were you"
C. "You aren't sure what to say to your partner?"
D. "We are required by law to notify your partner" - C. "You aren't sure what to say to
your partner?"
A nurse has prepared a sign to hang outside of the room of a client who is on contact
precautions because of a confirmed MRSA infection. Which sign, if prepared by the
nurse, would indicate a knowledge deficit? - Graphic 4: isolation mask is not necessary
with contact precautions
A client with reactive airway disease is tested and found to have an allergy to dust mites.
The nurse determines that the client understands how to reduce her exposure to this
allergen when she states which of the following?
A. "I'll run a room humidifier in my bedroom every night"
B. "Carpeting the entire house will be very expensive, but it will be worth it"
C. "Washing all the bed linens in hot water every week will be time-consuming"
D. "I'll apply insect repellent sparingly to any exposed parts when I'm outdoors" - C.
"Washing all the bed linens in hot water every week will be time-consuming"
Dust mites are vulnerable to high temperatures and because a client may spend up to 1/3
of the day in bed, actions to reduce exposure in bedroom are essential
A client has been diagnosed with Raynaud's disease, when reinforcing teaching with the
client, the nurse should include information about which of the following?
A. Protecting against cold with layers of clothing
B. Starting a regular exercise program of 2-mile walks daily
C. Increasing niacin and pyridoxine in the diet
D. Elevating the hands above heart level during an acute attack - A. Protecting against
cold with layers of clothing
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