Literally Exam 4 NUR265 (Answered) Complete Solution
The nurse working in the ED is triaging a client who has presented with chest pain, shortness of breath, a productive cough, and reports nights sweats. That clients health history includes the presence of acquired immunodeficiency syndrome (AIDS...
literally exam 4 nur265 answered complete solution the nurse working in the ed is triaging a client who has presented with chest pain
Written for
NUR265
All documents for this subject (51)
Seller
Follow
ACADEMICAIDSTORE
Reviews received
Content preview
Literally Exam 4 NUR265 (Answered) Complete Solution
The nurse working in the ED is triaging a client who has presented with chest pain,
shortness of breath, a productive cough, and reports nights sweats. That clients health
history includes the presence of acquired immunodeficiency syndrome (AIDS) and the
recent laboratory results that reveal a low CD4+ count. Airborne precautions have been
initiated. Which of the following actions should the nurse take next?
ANSWER: Check the client’s temperature
RATIONALE: A fever is a symptom of AIDS exacerbation.
The newly hired nurse is developing a plan of care for a client who has acquired AIDS
and was just diagnosed with pneumocystis jiroveci pneumonia and pain. Which of the
following interventions should the nurse preceptor question?
ANSWER: Placing the client on a pressure-relieving mattress
RATIONALE: That is not an appropriate intervention.
The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal meningitis. Which of the
following actions should the nurse take?
ANSWER: Initiate seizure precautions with padded side rails
RATIONALE: Pg.965. Patients may have seizures.
The nurse had provided medication instructions to a client who has human
immunodeficiency virus (HIV) and has been prescribed combination antiretroviral
therapy (cART). Which of the following client statements indicates a correct
understanding of the teaching?
ANSWER:“I can avoid developing drug resistance if I take 90% of my drugs on time.”
RATIONALE: Pg. 976. It is important to teach patients to take at least 90% of their
meds on time to prevent drug resistance.
The nurse working in a community health center has instructed a group of clients who have acquired immune
deficiency syndrome (AIDS) about ways to prevent infection. Which of the following statements, if made by a client,
would indicate the need for additional teaching?
ANSWER: “I will wear a surgical mask when I change my cat’s litter box.”
RATIONALE: Pg. 974. Do not change cat’s litter box. Wear gloves and immediately wash hands.
The nurse is precepting a newly hired nurse who is caring for a client who has AIDS and has
developed Kaposil’s sarcoma. It requires additional teaching by the preceptor if the newly
hired nurse
ANSWER: Applies a surgical mask before entering the
client’s room. RATIONALE: Pg.983. This is not an appropriate
The nurse is caring for a client who had a heart transplant 24 hours ago. Which of the following findings indicates the
clients developing a complication?
ANSWER: Hypotension
RATIONALE: Pg.1842. Hypotension is a symptom of heart transplant rejection.
This study source was downloaded by 100000851646087 from CourseHero.com on 01-05-2023 01:54:51 GMT -06:00
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
