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265 Exam 4 Exam Review Comprehensive Questions & Answers. Galen

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265 Exam 4 Exam Review
Comprehensive Questions &
Answers. Galen
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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

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