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NUR 265265 Exam 4 – Questions & Solutions
(Galen College of Nursing)
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Terms in this set (50)
The nurse working in the ED has Initiate airborne precautions
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
The newly hired nurse is developing a Wearing a surgical mask when standing within 3 ft of
plan of care for a client who has the client.
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
,The nurse is caring for a patient who Ask the client if they ingested undercooked meat.
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
The nurse working in a community I will notify my primary healthcare provider if my
health center has instructed a group temp is greater than 101 F
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.
, The nurse is admitting a client who has "I have noticed that my speech has become slurred"
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"
The nurse is caring for a client who 2. Activity intolerance
had a heart transplant 10 years ago. 3. Weight gain of 3 lbs
Which findings from the box below 4. Shortness of breath
require follow-up by the nurse? 5. Hypotension
1. Prolonged prothrombin time (PT)
2. Activity intolerance
3. Weight gain of 3 lbs
4. Shortness of breath
5. Hypotension
6. Irritability