0121 NUR265 Exam #4
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, The nurse working in the emergency department (E
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s triaging a client who has presented with chest pain,
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rtness of breath, a productive cough, and reports night
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eats. The client’s health history includes the presence
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acquired immune deficiency syndrome (AIDS) and
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cent laboratory result that reveals a low CD4+ co
m m m m m m m m
mAirborne precautions have been initiated. Which of the
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lowing actions should the nurse take next?
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a. Obtain a throat culture.
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b*. Check the client’s temperature. (351)(Report S
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)
c. Prepare the client for insertion of a chest tube.
Question#1
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m
d. Assess the client for shingles.
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Appropriate assessment m
RATIONALE: A fever is a symptom of AIDS exacerba m m m m m m m m
n.
Take your temperature at least once daily and when
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er you feel well. Report Temp>100.0, persistent cou
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with/out sputum. m
, The newly hired nurse is developing a plan of care
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mclient who has acquired immune deficiency s
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ome (AIDS) and was just diagnosed with Pneu
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stis jiroveci pneumonia (PJP) and pain. Whic
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he following interventions should the nurse prec
m m m m m m
mquestion?
a. Offering the client foods high in calories and
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protein.(354)
b. *Telling the client to keep the door to the
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room closed at all times.(Suicide watch:3
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c. Instructing the client to drink at least two to th
Question#2
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m
iters of fluid throughout the day.(354)
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d. Placing the client on a pressure-
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relieving mattress (Pain manage.353) m m m
▪ Develop a plan of care for a patient who is HIV positive and with
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ay particular attention to common diagnosis and care for these p
m m m m m m m m m m
, The nurse is caring for a client with acquired imm
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eficiency syndrome (AIDS) who has just been di
m m m m m m m
ed with Cryptococcal meningitis . Which of the
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ing actions should the nurse take?
m m m m m
aI.nitiate airborne precautions for the next 72 hour
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nitiate seizure precautions with padded side
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347)
cT.hicken the client’s liquids to honey consistency.
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dminister IV pentamidine isethionate. a pressure-
m m m m m
mrelieving
Question#3
m
Develop a plan of care for a patient with streptococcal mening
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e sure to include patient education, patient safety, and care i
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ves.
RATIONALE: m
Patients may have seizures. (Meningitis=Seizures) Manag
m m m m m
d by an interprofessional team. Cryptococcal meningitis increa
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es the pressure inside your skull and can destroy one or seve
m m m m m m m m m m m
l parts of your brain.
m m m m
Streptococcal meningitis is an acute, purulent inflammation o
m m m m m m m
he membranes surrounding the brain and spinal cord caused b
m m m m m m m m m
acteria from the Streptococci species.
m m m m
m m m
, The nurse working in the emergency department (E
m m m m m m m
s triaging a client who has presented with chest pain,
m m m m m m m m m m
rtness of breath, a productive cough, and reports night
m m m m m m m m
eats. The client’s health history includes the presence
m m m m m m m
acquired immune deficiency syndrome (AIDS) and
m m m m m m
cent laboratory result that reveals a low CD4+ co
m m m m m m m m
mAirborne precautions have been initiated. Which of the
m m m m m m m
lowing actions should the nurse take next?
m m m m m m
a. Obtain a throat culture.
m m m
b*. Check the client’s temperature. (351)(Report S
m m m m m
)
c. Prepare the client for insertion of a chest tube.
Question#1
m m m m m m m m
m
d. Assess the client for shingles.
m m m m
Appropriate assessment m
RATIONALE: A fever is a symptom of AIDS exacerba m m m m m m m m
n.
Take your temperature at least once daily and when
m m m m m m m m
er you feel well. Report Temp>100.0, persistent cou
m m m m m m m
with/out sputum. m
, The newly hired nurse is developing a plan of care
m m m m m m m m m
mclient who has acquired immune deficiency s
m m m m m m
ome (AIDS) and was just diagnosed with Pneu
m m m m m m m
stis jiroveci pneumonia (PJP) and pain. Whic
m m m m m m
he following interventions should the nurse prec
m m m m m m
mquestion?
a. Offering the client foods high in calories and
m m m m m m m m
protein.(354)
b. *Telling the client to keep the door to the
m m m m m m m m
room closed at all times.(Suicide watch:3
m m m m m
c. Instructing the client to drink at least two to th
Question#2
m m m m m m m m m
m
iters of fluid throughout the day.(354)
m m m m m
d. Placing the client on a pressure-
m m m m m
relieving mattress (Pain manage.353) m m m
▪ Develop a plan of care for a patient who is HIV positive and with
m m m m m m m m m m m m m
ay particular attention to common diagnosis and care for these p
m m m m m m m m m m
, The nurse is caring for a client with acquired imm
m m m m m m m m m
eficiency syndrome (AIDS) who has just been di
m m m m m m m
ed with Cryptococcal meningitis . Which of the
m m m m m m m m
ing actions should the nurse take?
m m m m m
aI.nitiate airborne precautions for the next 72 hour
m m m m m m m
nitiate seizure precautions with padded side
m m m m m
347)
cT.hicken the client’s liquids to honey consistency.
m m m m m m m m
dminister IV pentamidine isethionate. a pressure-
m m m m m
mrelieving
Question#3
m
Develop a plan of care for a patient with streptococcal mening
m m m m m m m m m m
e sure to include patient education, patient safety, and care i
m m m m m m m m m m
ves.
RATIONALE: m
Patients may have seizures. (Meningitis=Seizures) Manag
m m m m m
d by an interprofessional team. Cryptococcal meningitis increa
m m m m m m m
es the pressure inside your skull and can destroy one or seve
m m m m m m m m m m m
l parts of your brain.
m m m m
Streptococcal meningitis is an acute, purulent inflammation o
m m m m m m m
he membranes surrounding the brain and spinal cord caused b
m m m m m m m m m
acteria from the Streptococci species.
m m m m
