ATI LPN
Immune System Exam Questions Questions
Question 1 of 5
A client is being administered the first dose of belimumab for a systemic lupus erythematosus flare. What actions by the nurse are most appropriate? (Select one that does not apply)
Correct Answer: C
Rationale: The correct answer is C: Inform the client not to drive or sign legal papers for 24 hours. This is because belimumab can cause dizziness or drowsiness as a side effect, which may impair the client's ability to drive or make important decisions. A: Observing the client for at least 2 hours afterward is important for monitoring immediate reactions to the medication. B: Instructing the client about the monthly infusion schedule is important for treatment adherence but not directly related to the first dose administration. D: Ensuring emergency equipment is working and nearby is important for safety but not specific to the first dose administration.
Question 2 of 5
The nurse prepares to give a bath and change the bed linens of a client with cutaneous Kaposi's sarcoma lesions. The lesions are open and draining a scant amount of serous fluid. Which would the nurse incorporate into the plan during the bathing of this client?
Correct Answer: B
Rationale: The correct answer is B (Wearing a gown and gloves). When dealing with open and draining lesions like those seen in cutaneous Kaposi's sarcoma, it is important for the nurse to wear a gown and gloves to protect themselves from exposure to the serous fluid. The gown provides an additional layer of protection for the nurse's clothing, while gloves prevent direct contact with the fluid. Wearing just gloves (choice A) may not provide enough protection for the nurse's clothing. Adding a mask (choice C) is unnecessary since the serous fluid is not airborne. Choice D is incorrect as changing the bed linens with just gloves does not provide sufficient protection for the nurse's clothing.
Question 3 of 5
The nurse is preparing a group of Cub Scouts for an overnight camping trip and instructs the Scouts about the methods to prevent Lyme disease. Which statement by one of the Scouts indicates a need for further instruction?
Correct Answer: C
Rationale: The correct answer is C because using insect repellents is actually recommended to prevent tick bites, not attract them. Ticks are repelled by certain chemicals in insect repellents, so using repellents can help reduce the risk of getting Lyme disease. Therefore, the Scout's statement about not using insect repellents shows a misunderstanding and indicates a need for further instruction. In contrast, choices A, B, and D are all correct preventive measures for Lyme disease. Wearing a hat, long-sleeved tops, long pants, closed shoes, and socks that can be pulled up over pants all help to minimize skin exposure to ticks and reduce the chances of getting bitten.
Question 4 of 5
The nurse is assigned to care for a client with cytomegalovirus retinitis and acquired immunodeficiency syndrome who is receiving foscarnet, an antiviral medication. The nurse should monitor the results of which laboratory study while the client is taking this medication?
Correct Answer: D
Rationale: The correct answer is D: Serum creatinine level. Foscarnet, an antiviral medication, can cause nephrotoxicity. Monitoring serum creatinine levels is crucial to assess renal function and detect any potential kidney damage. CD4+ T cell count (A) is important in HIV management but not specific to foscarnet monitoring. Lymphocyte count (B) and serum albumin level (C) are not directly related to foscarnet therapy or its potential side effects.
Question 5 of 5
A 67-year-old smoker with shortness of breath, bloody pleural effusion, bronchioalveolar adenocarcinoma. Best next step?
Correct Answer: C
Rationale: The correct answer is C: Refer for chemotherapy. Chemotherapy is the best next step for bronchioalveolar adenocarcinoma to target and shrink the tumor, control metastasis, and improve symptoms. It is a standard treatment for advanced-stage lung cancer. Option A (Refer to hospice) is premature as chemotherapy can improve quality of life and survival. Option B (Refer for lobectomy) is not suitable for advanced-stage cancer. Option D (Refer for radiation therapy) may be used in combination with chemotherapy but is not the initial treatment of choice.