A client has been diagnosed with a deficiency of complement proteins. Which assessment is the item of highest priority for the nurse to perform?
a. Joint stiffness and range of motion
b. Enlarged lymph nodes and night sweats
c. Rhinorrhea and conjunctivitis
d. Lung sounds, cough, and oxygen satura-tion
D
The complement system attaches to viruses and bacteria so that they are more easily phagocy-tosed by white blood cells (WBCs). Without an effective complement system, the client is sus-ceptible to bacterial and viral infections such as pneumonia. Pneumonia might manifest with ab-normal lung sounds, productive cough, and decreased oxygen saturation. Joint stiffness and li-mited range of motion would suggest arthritis; enlarged lymph nodes and night sweats might in-dicate lymphoma; rhinorrhea and conjunctivitis might indicate seasonal allergies.
You might also like to view...
A new graduate LPN is worried about a nurse who works with her. The preceptor discusses the signs of an impaired nurse as including: Standard Text: Select all that apply
1. Habitual tardiness. 2. Complaints of poor-quality nursing care. 3. Mood swings. 4. Increased productivity. 5. Frequent requests to ‘waste' narcotic doses.
The nurse explains the functions of the male reproductive organs to a patient. Among the functions the nurse includes are: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Ejaculatory ducts move semen and seminal fluid. 2. The adrenal gland is the major source of testosterone. 3. The vas deferens ends before reaching the prostate gland. 4. Sertoli's cells nourish spermatoazoa. 5. The testes house seminiferous tubules.
Population-focused interventions are often implemented to meet the needs of the communities. The CNS wishes to use this approach. Which of the following is an example of this type of intervention?
1. Setting up a health fair with nursing students at a local university to take blood pressures and do diabetic screening for a group of migrant workers 2. Teaching a new mother how to breastfeed 3. Doing physical examinations on preschool children at the clinic one at a time 4. Contacting local officials about the rise in crime in one area of the city
A nurse is viewing the cardiac monitor in a client's room and notes that the client has just gone into ventricular tachycardia. The client is awake and alert and has good skin color. The nurse would prepare to do which of the following?
A. Immediately defibrillate B. Prepare for pacemaker insertion C. Administer amiodarone (Cordarone) intravenously D. Administer epinephrine (Adrenaline) intravenously