AHIII Modules 2-4 Review

A client is admitted with an anaphylactic reaction after eating shellfish. What is the nurse’s priority action?

• Administer diphenhydramine

• Start an IV line

• Administer epinephrine IM

• Place the client in a supine position

Which finding in a client with systemic lupus erythematosus (SLE) requires immediate attention?

• Butterfly rash on the face

• Fatigue

• Shortness of breath and pleuritic chest pain

• Morning stiffness

A client receiving immunosuppressants after a kidney transplant reports a sore throat and low-grade fever. What is the nurse’s first action?

• Document the findings

• Notify the provider

• Increase fluid intake

• Reassure the client

Which lab value is most concerning in a client with HIV?

• CD4 count of 680

• CD4 count of 450

• CD4 count of 220

• CD4 count of 180

A nurse is providing education to a client newly diagnosed with HIV. Which statement by the client indicates a need for further teaching?

• I can stop taking my medication when my viral load is undetectable.

• I will use condoms during sexual activity.

• I’ll notify my doctor if I develop a fever.

• I’ll take my medications at the same time each day.

A client develops hives and throat tightness 10 minutes after receiving IV antibiotics. What action should the nurse take first?

• Stop the infusion

• Call the provider

• Administer diphenhydramine

• Assess the rash

Which lab test would the nurse expect to be ordered to confirm a diagnosis of systemic lupus erythematosus?

• Rheumatoid factor (RF)

• Antinuclear antibody (ANA)

• Complete blood count (CBC)

• Erythrocyte sedimentation rate (ESR)

The nurse is teaching a client about methotrexate for rheumatoid arthritis. Which instruction is most important?

• Avoid high-fat meals.

• Do not take with calcium.

• Report signs of infection immediately.

• Take with antacids to reduce GI upset.

Which condition places a client at the highest risk for developing an opportunistic infection?

• Asthma

• HIV with CD4 < 200

• Seasonal allergies

• Rheumatoid arthritis

What is the purpose of administering corticosteroids to a client with lupus?

• Prevent infection

• Increase antibody production

• Suppress inflammation

• Cure the autoimmune disease