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The Nurse Is Determining Which Assigned Patients Might Be Experiencing

Question 27

Multiple Choice

The nurse is determining which assigned patients might be experiencing an immunodeficiency. Which patient or patients should the nurse identify as having this health problem?  Patient A  Patient B  Patient C  Patient D  Patient complains  of fatigue and  weight loss.  Patient complains  of rash across bridge  of nose.  Patient complains  of 14lb, weight loss  over last 2 months.  Patient complains of  pain and decreased  range of motion in  knee joints.  Oral temp =100.8 F  Patient has  increased/high  Blood urea nitrogen  (BUN)  and  creatinine levels.  Patient has  purplish/blue  patches noted on  face  and over trunk of  body  Patient’s  Erythrocyte  sedimentation rate  (ESR)  is elevated.  White patches  noted in oral  mucosa.  Patient has peri-  orbital edema.  Patient has enlarged  auxillary lymph  nodes.  Patients knees feel  warm to touch. \begin{array} { | l | l | l | l | } \hline \text { Patient A } & \text { Patient B } & \text { Patient C } & \text { Patient D } \\\hline \begin{array} { l } \text { Patient complains } \\\text { of fatigue and } \\\text { weight loss. }\end{array} & \begin{array} { l } \text { Patient complains } \\\text { of rash across bridge } \\\text { of nose. }\end{array} & \begin{array} { l } \text { Patient complains } \\\text { of } 14 \mathrm { lb } \text {, weight loss } \\\text { over last } 2 \text { months. }\end{array} & \begin{array} { l } \text { Patient complains of } \\\text { pain and decreased } \\\text { range of motion in } \\\text { knee joints. }\end{array} \\\hline \begin{array} { l } \text { Oral temp } = 100.8 ^ { \circ } \\\text { F }\end{array} & \begin{array} { l } \text { Patient has } \\\text { increased/high } \\\text { Blood urea nitrogen } \\\text { (BUN) and } \\\text { creatinine levels. }\\\\\\\end{array} & \begin{array} { l } \text { Patient has } \\\text { purplish/blue } \\\text { patches noted on } \\\text { face }\\\\\text { and over trunk of }\\\text { body }\end{array} & \begin{array} { l } \text { Patient's } \\\text { Erythrocyte } \\\text { sedimentation rate } \\\text { (ESR) is elevated. }\\\\\\\\\end{array} \\\hline \begin{array} { l } \text { White patches } \\\text { noted in oral } \\\text { mucosa. }\end{array} & \begin{array} { l } \text { Patient has peri- } \\\text { orbital edema. }\end{array} & \begin{array} { l } \text { Patient has enlarged } \\\text { auxillary lymph } \\\text { nodes. }\end{array} & \begin{array} { l } \text { Patients knees feel } \\\text { warm to touch. }\end{array} \\\hline\end{array}


A) Patient A only
B) Patient D only
C) All patients
D) Patient B and C

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