which client is at highest risk of compromised immunity

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. Which client is at highest risk of compromised immunity?

A. A client who just had surgery
B. A client who just delivered a baby
C. A client with extreme anxiety
D. A client who is awaiting surgery

Correct answer: A

Rationale:

2. The nurse is most concerned about which of these findings in a client with systemic lupus erythematous?

A. The client reports chronic fatigue
B. The client has a butterfly rash
C. Blood pressure of 126/85 mm Hg
D. Urine output of 20 mL/hour

Correct answer: D

Rationale:

3. Which of the following statements by a client with human immunodeficiency virus (HIV) does NOT requires further teaching?

A. I can spread this through contact with surfaces, so I need to wear gloves in public.'
B. Because I have HIV, that means I'm an AIDS patient'
C. I need to ensure that I place my needles in a proper needle disposal container.'
D. I can still have unprotected intercourse with my partner since he does not have HIV.'

Correct answer: C

Rationale:

4. What is one of the earliest signs of fat embolism syndrome?

A. Paresthesia
B. Severe pain in the affected limb unrelieved by medication
C. Edema
D. Hypoxemia

Correct answer: D

Rationale: Hypoxemia is one of the earliest signs of fat embolism syndrome. In fat embolism syndrome, fat globules enter the bloodstream and can obstruct blood flow in the lungs, leading to hypoxemia. Paresthesia, severe pain unrelieved by medication, and edema are not typically among the earliest signs of fat embolism syndrome.