The nurse is assigned to a client with polymyositis. Which expected outcome in the plan of care relates to a potential problem associated with polymyositis?

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Pharmacology and the Nursing Process 10th Edition Test Bank Questions

Question 1 of 5

The nurse is assigned to a client with polymyositis. Which expected outcome in the plan of care relates to a potential problem associated with polymyositis?

Correct Answer: E

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

In planning an educational session for a patient with HIV, the nurse would include which of the following as a method of transmission for HIV? i.Saliva iv.Semen ii.Tears v.Blood iii.Breast milk

Correct Answer: C

Rationale: The correct answer is C: 3, 4, 2005. HIV can be transmitted through breast milk, blood, and semen due to the presence of the virus in these bodily fluids. Saliva, tears, and other body fluids do not typically contain enough of the virus to transmit HIV. Therefore, choices A, B, and D are incorrect as they include saliva, tears, and other non-transmissible fluids. It is crucial for the nurse to educate the patient on the modes of transmission to prevent the spread of HIV.

Question 3 of 5

Which of the following blood types would the nurse identify as the rarest?

Correct Answer: B

Rationale: The correct answer is B (AB). AB blood type is the rarest because it is a result of inheriting both A and B alleles, making it less common in the population. AB individuals can only receive blood from other AB individuals due to their unique antigens. Blood types A, B, and O are more common in the population, with O being the most common as it is the universal donor. Blood type A and B are more common than AB since they only require one allele for their respective antigens. Thus, the rarity of AB blood type is due to the inheritance of both A and B alleles, making it the least common among the choices provided.

Question 4 of 5

A client with pernicious anemia is receiving parenteral vitamin B12 therapy. Which client statement indicates effective teaching about this therapy?

Correct Answer: D

Rationale: The correct answer is D: “I will receive parenteral vitamin B12 therapy for the rest of my life.” This statement is correct because pernicious anemia is a lifelong condition requiring ongoing vitamin B12 supplementation. Patients with pernicious anemia lack intrinsic factor, which is needed to absorb vitamin B12 from food. Therefore, they need lifelong B12 therapy to prevent complications such as anemia and neurological damage. Choices A, B, and C are incorrect because they suggest a limited duration of therapy. Pernicious anemia is a chronic condition that necessitates continuous treatment. Choice A implies therapy until signs and symptoms disappear, which may not address the underlying cause of the deficiency. Choice B mentions therapy until vitamin B12 levels normalize, which may not prevent recurrence. Choice C suggests monthly therapy for a fixed period, which may not be sufficient for lifelong management.

Question 5 of 5

A client is diagnosed with human immunodeficiency virus (HIV). After recovering from the initial shock of the diagnosis, the client expresses a desire to learn as much as possible about HIV and acquired immunodeficiency syndrome (AIDS). When teaching the client about the immune system, the nurse states that adaptive immunity is provide by which type of white blood cell?

Correct Answer: D

Rationale: The correct answer is D: Lymphocyte. Lymphocytes are a type of white blood cell that play a crucial role in adaptive immunity. They include T cells and B cells, which are responsible for recognizing and attacking specific pathogens. T cells help regulate the immune response and directly attack infected cells, while B cells produce antibodies to target pathogens. Neutrophils (A), monocytes (B), and basophils (C) are important for innate immunity, not adaptive immunity. Neutrophils are phagocytic cells that engulf and destroy pathogens, monocytes differentiate into macrophages to engulf pathogens, and basophils are involved in allergic reactions. Therefore, the correct answer is D because lymphocytes are key players in adaptive immunity.

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