A patient prescribed corticosteroids for arthritis is surprised to learn of an immune disorder. What should the nurse explain as the reason for the patient not demonstrating typical signs of immune dysfunction?
a. The arthritis is masking the normal immune response.
b. The corticosteroids are causing the thymus gland to malfunction.
c. The arthritis is interfering with the function of immunoglobulins.
d. Corticosteroids are impacting normal immune response functioning.
ANS: C
If the immune system is suppressed or functioning abnormally, this normal inflammatory response may not occur. Thus, the patient may have only a low-grade fever with none of the other signs of inflammation or infection. Corticosteroids can mask or impact normal immune response functioning. A. B. C. These are not reasons why the patient is not demonstrating typical signs of an immune disorder.
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A preadolescent student asks the school nurse to explain why the student keeps getting urinary tract infections. The school nurse determines that the diagnosis of Deficient Knowledge is appropriate based upon the student's response to which question?
A) "When was your last UTI?" B) "How often do you shower?" C) "Do you have a family history of urinary problems?" D) "In what direction do you wipe after a bowel movement?"
A nurse practitioner is preparing to perform a patient's scheduled Pap smear and the patient asks the nurse to ensure that the speculum is well-lubricated. How should the nurse proceed with assessment?
A) Reassure the patient that ample petroleum jelly will be used. B) Reassure that patient that a water-based lubricant will be used. C) Explain to the patient that water is the only lubricant that can be used. D) Explain to the patient why the speculum must be introduced "dry."
All of the following statements are true about an acute attack of gout, except:
a. Fluid intake should be increased. b. Opioids are the drugs of choice for pain relief. c. Red meats, fish, fowl, and alcohol should be avoided. d. The earlier treatment is started, the easier it is to abort the attack.
The nurse is gathering the necessary equipment in preparation for examining a client's ears. The nurse will be checking bone and air conduction of sound. Which of the following would the nurse obtain?
A) Penlight B) Tongue depressor C) Tuning fork D) Otoscope