ANS: A, B, C
Hepatitis B vaccine, Pneumococcal vaccine, Influenza virus vaccine
Asymptomatic chronic HIV infection is a stage between acute HIV infection and a diagnosis of symptomatic chronic HIV infection. Although called asymptomatic, symptoms (e.g., fatigue, headache, low-grade fever, night sweats) often occur. Prevention of other infections is an important intervention in patients who are HIV positive, and these vaccines are
recommended as soon as the HIV infection is diagnosed. Antibiotics and immune globulin are used to prevent and treat infections that occur later in the course of the disease when the CD4+ counts have dropped or when infection has occurred.
DIF: Cognitive Level: Apply (application) REF: 220
TOP: Nursing Process: Implementation MSC: NCLEX: Health Promotion and Maintenance
"Because my reactions are not severe, I will not need an EpiPen."
An individual with latex allergies should carry an injectable epinephrine pen. The proteins in latex are similar to the proteins in certain foods and may cause an allergic reaction in people who are allergic to latex. Foods to avoid include banana, avocado, chestnut, kiwi, tomato, water chestnuts, guava, hazelnuts, potatoes, peaches, grapes, and apricots. Vinyl gloves are not latex and are safe to use. Individuals with latex allergies need to share this information with all health care providers and wear a medical alert bracelet.
Systemic lupus erythematosus
Rationale
Systemic lupus erythematosus is a chronic, progressive, inflammatory connective tissue disorder that causes major body organs and systems to fail. The image illustrates a "butterfly" rash, which is a major skin manifestation of systemic lupus
erythematosus. Angioedema is the diffuse swelling of the eyes and lips. In oral candidiasis, white plaque-like lesions appear on the tongue, palate, pharynx, and buccal mucosa. In systemic sclerosis, skin thickening on the trunk, face, and extremities is observed.
Type III
Rationale
Systemic lupus erythematosus is an example of an immune complex-mediated, or type III, hypersensitive reaction. Anaphylaxis is an example of a type I or immediate
hypersensitive reaction. Cytotoxic or type II hypersensitive reactions can result in conditions such as myasthenia gravis and Goodpasture syndrome. Graft rejection and sarcoidosis are conditions that are caused by delayed or type IV hypersensitivity reactions.Test-Taking Tip: Key words or phrases in the question stem such as first, primary, early, or best are important. Similarly, words such as only, always, never, and all in the alternatives are frequently evidence of a wrong response. No real
absolutes exist in life; however, every rule has its exceptions, so answer with care.
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