265 Exam 4 study questions
1. 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: Initiate airborne precautions
2. 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: -
Wearing a surgical mask when standing within 3 ft of the client.
3. 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: Ask the client if they ingested undercooked
meat.
4. 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
,265 Exam 4 study questions
- I will avoid drinking water that has been standing for longer than an hour.: I will notify
my primary healthcare provider if my temp is greater than 101 F
5. 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": "I have noticed that my speech
has become slurred"
6. 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: 2. Activity intolerance
3.Weight gain of 3 lbs
4.Shortness of breath
5.Hypotension
7. 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
1. 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: Initiate airborne precautions
2. 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: -
Wearing a surgical mask when standing within 3 ft of the client.
3. 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: Ask the client if they ingested undercooked
meat.
4. 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
,265 Exam 4 study questions
- I will avoid drinking water that has been standing for longer than an hour.: I will notify
my primary healthcare provider if my temp is greater than 101 F
5. 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": "I have noticed that my speech
has become slurred"
6. 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: 2. Activity intolerance
3.Weight gain of 3 lbs
4.Shortness of breath
5.Hypotension
7. 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
