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Chapter: Chapter 51: Management of Patients With Immunodeficiency

Multiple Choice

1. A healthy high school athlete is diagnosed with fever and cellulitis of 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
B) Decrease white blood cells
C) Normal
The use of pain medications will have no affect on the prevention of infection.

7. A patient with a comorbidity of paroxysmal nocturnal hemoglobinuria is admitted for a total knee replacement. The nurse caring for this patient makes sure that what medication is ordered?
A) Anticoagulants
B) Narcotics
C) Anti-infectives
D) Beta-blockers

Ans: A
Chapter: 51
Client Needs: D-2
Cognitive Level: Analysis
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 2
Page and Header: 1569, Deficiencies of the Complement System

Feedback: In total knee replacement patients narcotics and anti-infectives are often administered. However, in a patient with paroxysmal nocturnal hemoglobinuria anticoagulants are the primary medication to be administered. PNH is characterized by intravascular hemolysis, cytopenia, frequent infections, bone marrow hyperplasia, and a high incidence of life-threatening venous thrombosis. Beta-blockers would not be administered.

8. A patient diagnosed with common variable immune deficiency (CVID) has been admitted to your unit. In caring for this patient you will assess the patient for what condition commonly associated with CVID?
A) Systemic Candida
B) Pernicious anemia
C) Hypoplasia of the small intestine
D) Thrombocytopenia

Ans: B
Chapter: 51
Client Needs: D-4
Cognitive Level: Application
Difficulty: Difficult
Integrated Process: Nursing Process
Objective: 1