ATI LPN
Test Bank for Medical Surgical Nursing: Concepts for Interprofessional Collaborative Care 10th Edition
Chapter 20 Questions
Question 1 of 5
A nurse works in an allergy clinic. What task performed by the nurse takes priority?
Correct Answer: A
Rationale: Checking emergency equipment each morning is the priority task because ensuring the availability and functionality of emergency equipment is critical in an allergy clinic where anaphylactic reactions may occur, requiring immediate intervention to ensure patient safety.
Question 2 of 5
A nurse suspects a client has serum sickness. What laboratory result would the nurse correlate with this condition?
Correct Answer: B
Rationale: The creatinine is high (3.2 mg/dL), possibly indicating the client has serum sickness nephritis. Blood urea nitrogen (12 mg/dL) and white blood cell count (12,000 mm^3) are both normal. Hemoglobin (8.2 mg/dL) is low but not directly related to serum sickness.
Question 3 of 5
A client calls the clinic to report exposure to poison ivy and an itchy rash that is not helped with over-the-counter antihistamines. What response by the nurse is most appropriate?
Correct Answer: A
Rationale: Since histamine is not the mediator of a type IV reaction such as with poison ivy, antihistamines will not provide relief. The nurse should educate the client about this. The client does not need to be seen right away, and steroids, if needed, may be given either IV or orally.
Question 4 of 5
A client with Sjögren's syndrome reports dry skin, eyes, mouth, and vagina. What nonpharmacologic comfort measure does the nurse suggest?
Correct Answer: B
Rationale: A humidifier will help relieve many of the client's Sjögren's syndrome symptoms by adding moisture to the air, which can alleviate dryness in the skin, eyes, mouth, and other mucous membranes. Eyedrops and tear duct plugs only affect the eyes, and moisturizer will only help the skin.
Question 5 of 5
A client is receiving plasmapheresis as treatment for Goodpasture's syndrome. When planning care, the nurse places highest priority on interventions for which client problem?
Correct Answer: D
Rationale: The client has a potential for infection because plasmapheresis is an invasive procedure, making infection prevention the highest priority. Physical diagnoses, such as infection risk, take precedence over psychosocial diagnoses like inadequate family coping or knowledge deficits. There is no information indicating reduced physical activity.