The nurse reads that an assigned client has an immunodeficiency. The nurse reads further in the medical record, anticipating that the client also most likely has a history of
a. conjunctivitis.
b. severe headaches.
c. skin eruptions.
d. unexplained weight loss.
D
Clients with immunodeficiencies have a history of recurrent infections, especially of mucous membranes (e.g., oral cavity, anorectal area, genitourinary [GU] tract, respiratory tract); poor wound healing; diarrhea; and manifestations of systemic activation of the immune response.
You might also like to view...
A woman arrives at the birthing unit complaining of frequent strong contractions that begin in her back and cannot be relieved by walking or changing positions. What action by the nurse is most appropriate?
A. Assess the woman for rupture of membranes. B. Immediately notify the woman's primary care provider. C. Reassure the woman and send her home. D. Review the signs of true labor with the woman.
A nurse is teaching a group of expectant parents about infant safety. Which of the following is mandated by the law to promote infant safety?
A) lowering temperatures on hot water heaters B) covering electrical outlets with safety prongs C) removing all cords from mini-blinds and drapes D) using special car safety seats and restraints
An older woman returns to her hospital room after abdominal surgery. As the nurse completes her assessment, the client asks the nurse to pin her "prayer cloth" to her pillow. Which of the following interventions is priority?
A) Say, "I will pin it on your pillow in a couple of hours after you are stable." B) Ask, "What is the purpose of a prayer cloth? Did you make it?" C) Ask, "What religion do you practice? Did your minister give the prayer cloth to you?" D) Pin the prayer cloth to her pillow since it is an essential part of her spiritual health.
A client is concerned that information given to the nurse remains confidential. Which is the nurse's best response?
A. "Your information is confidential. It will be kept just between you and me." B. "I will share the information with staff members only with your approval." C. "If the information impacts your care, I will need to share it with the treatment team." D. "You can make the decision whether your physician needs this information or not."