Chapter 51 Management of Patients with Immunodeficiency

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Chapter 51  Management of Patients with Immunodeficiency

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

1.
A 75-year-old woman develops infectious diarrhea which has been cultured as Clostridium difficile. Based on the woman’s age and the type of organism, the nurse would suspect the woman is:
A)
HIV positive
C)
Immunodeficient
B)
Vancomycin resistant
D)
Overmedicated

2.
A healthy former football player has an onset of symptoms with fever and cellulitis in the right knee. The infection is resistant to oral antibiotics. He then develops osteomyelitis of the right knee. If untreated the infection could result in:
A)
Severe neutropenia
C)
Normal creatinine clearance
B)
Decrease white blood cells
D)
A fungal infection

3.
A patient is to receive IV immunoglobulin. Prior to administration, the nurse should implement which intervention?
A)
Only administer immunoglobulin through a central line
B)
Administer IV immunoglobulin at 10 mL/minute
C)
Administer furosemide prior to and with immunoglobulin
D)
Weigh the patient before administration to determine onset of edema

4.
A young couple visits the nurse practitioner prior to attempting to become pregnant. The husband states that his brother died of a severe infection at age 6 months. He never knew what was wrong, but his mother had him tested for gammaglobulins as a child. Based on theses statements the nurse would suspect which of the following disorders?
A)
Severe neutropenia
C)
Drug-induced thrombocytopenia
B)
X-linked agammaglobulinemia
D)
Aplastic anemia

5.
A 35-year-old woman has suffered from pneumonia 4 times within the last year and has been bothered by loose, watery stools. The diarrhea seems to be increasing. The patient was diagnosed with common variable immunodeficiency (CVID).What factor is important to stress in educating her about her diagnosis?
A)
The development of diarrhea is related to malabsorption.
B)
The development of diarrhea is unrelated to CVID.
C)
If the diarrhea is unmanageable, she will require a colostomy.
D)
The development of diarrhea is a result of poor nutrition.

 

Answer Key

1.
C
2.
A
3.
D
4.
B
5.
A

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