0121 NUR265 Exam #4
, The nurse working in the emergency department (ED)
is triaging a client who has presented with chest pain,
shortness of breath, a productive cough, and reports night
sweats. The client’s health history includes the presence
of acquired immune deficiency syndrome (AIDS) and
a recent laboratory result that reveals a low CD4+
count. Airborne precautions have been initiated. Which of
the following actions should the nurse take next?
a.Obtain a throat culture.
b.*Check the client’s temperature. (351)(Report
Sign)
c.Prepare the client for insertion of a chest tube.
Question #1 d.Assess the client for shingles.
Appropriate assessment
RATIONALE: A fever is a symptom of AIDS
exacerbation.
Take your temperature at least once daily and
whenever you feel well. Report Temp>100.0,
persistent cough with/out sputum.
, The newly hired nurse is developing a plan of care for
a client who has acquired immune deficiency
syndrome (AIDS) and was just diagnosed with
Pneumocystis jiroveci pneumonia (PJP) and
pain. Which of the following interventions should the
nurse preceptor question?
a. Offering the client foods high in calories and
protein.(354)
b. *Telling the client to keep the door to the
room closed at all times.(Suicide watch:356)
c. Instructing the client to drink at least two to three
Question #2 liters of fluid throughout the day.(354)
d. Placing the client on a pressure-relieving mattress
(Pain manage.353)(p.535pressure-relieving mattress.
Develop a plan of care for a patient who is HIV positive and with AIDS
pay particular attention to common diagnosis and care for these
patients
, The nurse is caring for a client with acquired immune
deficiency syndrome (AIDS) who has just been
diagnosed with Cryptococcal meningitis . Which of
the following actions should the nurse take?
a.Initiate airborne precautions for the next 72 hours.
b.
*Initiate seizure precautions with padded
siderails (347)
c.Thicken the client’s liquids to honey consistency.
d.
Administer IV pentamidine isethionate. a pressure-
relieving mattress.
Question #3
Develop a plan of care for a patient with streptococcal meningitis
be sure to include patient education, patient safety, and care
initiatives.
RATIONALE:
Patients may have seizures. (Meningitis=Seizures)
Managed by an interprofessional team. Cryptococcal meningitis
increases the pressure inside your skull and can destroy one or
several parts of your brain.
Streptococcal meningitis is an acute, purulent inflammation of
the membranes surrounding the brain and spinal cord caused by
bacteria from the Streptococci species.
, The nurse working in the emergency department (ED)
is triaging a client who has presented with chest pain,
shortness of breath, a productive cough, and reports night
sweats. The client’s health history includes the presence
of acquired immune deficiency syndrome (AIDS) and
a recent laboratory result that reveals a low CD4+
count. Airborne precautions have been initiated. Which of
the following actions should the nurse take next?
a.Obtain a throat culture.
b.*Check the client’s temperature. (351)(Report
Sign)
c.Prepare the client for insertion of a chest tube.
Question #1 d.Assess the client for shingles.
Appropriate assessment
RATIONALE: A fever is a symptom of AIDS
exacerbation.
Take your temperature at least once daily and
whenever you feel well. Report Temp>100.0,
persistent cough with/out sputum.
, The newly hired nurse is developing a plan of care for
a client who has acquired immune deficiency
syndrome (AIDS) and was just diagnosed with
Pneumocystis jiroveci pneumonia (PJP) and
pain. Which of the following interventions should the
nurse preceptor question?
a. Offering the client foods high in calories and
protein.(354)
b. *Telling the client to keep the door to the
room closed at all times.(Suicide watch:356)
c. Instructing the client to drink at least two to three
Question #2 liters of fluid throughout the day.(354)
d. Placing the client on a pressure-relieving mattress
(Pain manage.353)(p.535pressure-relieving mattress.
Develop a plan of care for a patient who is HIV positive and with AIDS
pay particular attention to common diagnosis and care for these
patients
, The nurse is caring for a client with acquired immune
deficiency syndrome (AIDS) who has just been
diagnosed with Cryptococcal meningitis . Which of
the following actions should the nurse take?
a.Initiate airborne precautions for the next 72 hours.
b.
*Initiate seizure precautions with padded
siderails (347)
c.Thicken the client’s liquids to honey consistency.
d.
Administer IV pentamidine isethionate. a pressure-
relieving mattress.
Question #3
Develop a plan of care for a patient with streptococcal meningitis
be sure to include patient education, patient safety, and care
initiatives.
RATIONALE:
Patients may have seizures. (Meningitis=Seizures)
Managed by an interprofessional team. Cryptococcal meningitis
increases the pressure inside your skull and can destroy one or
several parts of your brain.
Streptococcal meningitis is an acute, purulent inflammation of
the membranes surrounding the brain and spinal cord caused by
bacteria from the Streptococci species.
