265 Revision Exam 4 Questions And 100% Correct Answers.
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Course
NUR 265
Institution
NUR 265
The nurse working in the ED has triaged a client who presented with chest pain, sob, a productive cough and reports or night sweats. The client has a health hx of AIDS and recents labs show a low CD4+ count. Which of the following actions should the nurse take next?
- Initiate airborne precaution...
265 Revision Exam 4 Questions And
100% Correct Answers.
The nurse working in the ED has triaged a client who presented with chest pain, sob, a productive cough
and reports or night sweats. The client has a health hx of AIDS and recents labs show a low CD4+ count.
Which of the following actions should the nurse take next?
- Initiate airborne precautions
- Check the clients temp
- Assess the client for shingles
- Obtain a throat culture - Answer Initiate airborne precautions
The newly hired nurse is developing a plan of care for a client who has acquired AIDS and was just
diagnosed with PJP. Which of the following interventions should the nurse preceptor question?
- Offering the client foods high in calories and protein
- Instructing the client to drink at least 2-3L of fluid throughout the day
- Wearing a surgical mask when standing within 3 ft of the client
- Auscultating the client's breath sounds for crackles at least once per shift - Answer Wearing a surgical
mask when standing within 3 ft of the client.
The nurse is caring for a patient who has AIDS and has just been diagnosed with toxoplasmosis
encephalitis. Which of the following actions should the nurse take?
- Thicken the pt's liquids to honey consistency
- Initiate airborne precautions for the next 72 hrs
- Ask the client if they ingested undercooked meat
- Monitor the client's level of orientation - Answer Ask the client if they ingested undercooked meat.
The nurse working in a community health center has instructed a group of clients who have AIDS about
ways to prevent infection. Which of the following statements by a client indicated the need for additional
teaching?
- I should clean my toothbrush by running it through the dishwasher once a week
- I will avoid eating undercooked fruits and veggies
, - I will notify my provider if my temp is greater than 101 F
- I will avoid drinking water that has been standing for longer than an hour. - Answer I will notify my
primary healthcare provider if my temp is greater than 101 F
The nurse is admitting a client who has AIDS and has developed an infection caused by cryptosporidium.
Which of the following client statements is consistent with the diagnosis?
- "I have lost 5 lbs this past week"
- "I have developed a persistent dry cough"
- "I have noticed that my speech has become slurred"
-"I have noticed that my food does not taste the same" - Answer "I have noticed that my speech has
become slurred"
The nurse is caring for a client who had a heart transplant 10 years ago. Which findings from the box
below require follow-up by the nurse?
1. Prolonged prothrombin time (PT)
2. Activity intolerance
3. Weight gain of 3 lbs
4. Shortness of breath
5. Hypotension
6. Irritability - Answer 2. Activity intolerance
3. Weight gain of 3 lbs
4. Shortness of breath
5. Hypotension
The nurse attended a conference about kidney transplantations. Which of the following clients who had
end-stage renal disease (ESRD) does the nurse recognize as being a transplant candidate?
- a 35 yr old client who is reporting burning with urination and is receiving abdominal radiation
- a 42 yr old client who is sobbing after receiving a new diagnosis of ovarian cancer
- a 24 yr old client who is receiving neck radiation and is reporting xerostomia
- a 56 yr old client who is receiving chest radiation and has developed changes in taste. - Answer A 35
yr old client who is reporting burning with urination and is receiving abdominal radiation
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