Immunity
The nurse is on her second dose of antibodies for this patient when suddenly their respirations are at 26, heart rate is at 112 and the patient is feeling dizzy. The nurse suspects which condition is happening with this patient?
What is an anaphylactic reaction
The nurse is caring for a patient with a repaired torn meniscus of the R knee. What should the nurse do to assist with pain management?
What is apply ice
Individuals of low socioeconomic status are at greater risk for infection because of what three things?
What is underinsured or uninsured, high cost of medications, or inadequate nutrition
For which patient will the nurse question the form of precautions being used?
1.What is a patient with C-diff in droplet precautions
2.A patient with MRSA in contact precautions
What is a patient with C-diff in droplet precautions
A nurse is planning a individualized plan of care for a patient. What action is important for a nurse to take?
What is establish goals that are measurable and realistic
The nurse is caring for a patient going home after a splenectomy. What information on immune function needs to be included in the plan of care?
What is basic infection control techniques
The nurse is caring for a patient that the wound eviscerates. What should the nurse do? three things
What is call the surgery team, place a sterile moist gauze on the site, and monitor for shock
Which set of infection data is consistent for a patient with severe infection that could lead to system failure?
What is BP 90/48, HR 112, RR 26, urine output 240 in last 24 hours
OR
BP 92/52, HR 52, RR 10, Urine output 1200 over last 24 hours.
he nurse is admitting a patient with an infectious disease process. Which question will be most appropriate for a nurse to ask about the patient’s susceptibility to this infectious process?
What is "Do you have a chronic disease?"
The nurse is providing an educational session for a group of preschool workers about the most important thing to do to prevent the spread of infection. Which information did the nurse share with the preschool workers?
What is wash their hands between each interaction with children.
The nurse is caring for a post operative patient with an open appendectomy. The nurse understands that the patient will have some erythema and edema at the site for 12 to 24 hours dependent on which condition?
What is his immune system is functioning properly
A patient is doing teaching on avoiding enteric coated tablets for a patient with ulcerative colitis. The nurse know the patient understands when he states what
What is enteric coated medicines are absorbed in the lower intestine and could irritate the lining of my colon or inadequately dissolved by my inflamed tissue.
While the nurse is looking at her complete blood count on her patient he notes elevated basophils and eosinophil readings. The nurse realizes this is indicative of what type of infection?
What is parasitic
A patient presents with pneumonia. Which priority intervention should be included in the plan of care for this patient?
What is observe the patient for decreased activity tolerance.
A nurse is teaching a group of businesspeople about disease transmission. The nurse knows that additional teaching is needed when one of the participants states which of the following?
What is "If I don't feel sick, I don't have to worry about transmitted diseases"
While caring for a patient getting ready for a kidney transplant, the nurse knows the patient understands teaching on immunosuppression when they make which statement?
What is the medications that I take will help my body from attacking my new kidney.
What are the systemic manifestations of inflammation, name three.
What is White blood cell (WBC) 20 cells/McL × 109/L
Oral temperature 38.6 °C/101.5 °F
Patient reports, “I’m tired all the time. I haven’t felt like myself in days.”
The nurse is working on a plan of care with her patient which includes turning and positioning and adequate nutrition to help the patient maintain intact skin integrity. The nurse helps the patient to realize that this breaks the chain of infection by eliminating which element?
What is portal of entry
The nurse is caring for a school-aged child who has injured the right leg after a bicycle accident. Which signs and symptoms will the nurse assess for to determine if the child is experiencing a localized inflammatory response?
What is edema, redness, tenderness, and loss of function.
An 18-month-old female patient is diagnosed with her fifth ear infection in the past 10 months. The physician notes that the child’s growth rate has decreased from the 60th percentile for height and weight to the 15th percentile over that same time period. The child has been treated for thrush consistently since the third ear infection. The nurse understands that the patient is at risk for which condition?
What is primary immunodeficiency
The nurse is caring for a chemotherapy patient with cancer. The patient says nothing tastes good and is becoming malnourished. What can the nurse suggest to help with appetite?
What is rinse your mouth several times a day to hydrate your tastebuds.
Upon admission the nurse notes a moderate amount of exudate serous drainage from the patient's wound, what does this tell the nurse
What is contains the materials used by the body for the initial inflammatory response
In order to provide an intervention for a patient, the nurse is often responsible for obtaining a sample of exudate for culture. What information will this provide?
What is the specific type of pathogen that is causing the infection
The nurse is caring for a patient who has cultured positive for C. difficile. Which action will the nurse take immediately?
What is instruct assistant personnel to use soap and water to clean rather than hand sanitizer.
The nurse is preparing to administer medications to a patient with rheumatoid arthritis (RA). The nurse should explain which goal of treatment to the patient?
What is control inflammation