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1. The nurse is working in the ED is traiging pt who has d. check pt's temp
presented with chest pain, SOB, productive cough, re-
ports night sweats. the pt's health hx includes pres-
ence of AIDS and a recent laboratory results that reveal
a low CD4+ count. Airborne precautions have been ini-
tated. which of the following actions should the nurse
take next
a. assess the pt for shingles
b. obtain a throat culture
c. prepare the pt for insertion of chest tube
d. check pt's temp
2. the newly hired nurse is developing a POC for a pt who a. telling the pt to keep the
has AIDS and was just diganosed with pneumocystis door to the room closed at
jiroveci pneumonia (PJP) and pain. which of the fol- all times
lowing interventions should the nurse preceptor ques-
tion
a. telling the pt to keep the door to the room closed at
all times
b. offering the pt foods high in calories and protein
c. instruciting the pt to drink at least 2-3L of fluid
throughout the day
d. placing the client on pressure-relieving mattress
3. the nurse is caring for a pt with ADS who has just been b. initate seizure pre-
cryptoccal meningitis. which of the following actions cautions with padded
should the nurse take siderails
a. initate airborne precuations for the next 72 hours
b. initate seizure precautions with padded siderails
, NUR 265 EXAM 4
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c. thicken the pt's liquid to honey consistency
d. administer IV pentamidine isethionate
4. the nurse had provided med instructions to a pt who a. "i can avoid develop-
has HIV and has been prescribed cART. which of the fol- ing drug resistance if I take
lowing pt statements indicates a correct understand- 90% of my drugs on time"
ing of teaching
a. "i can avoid developing drug resistance if I take 90%
of my drugs on time"
b. "i am less likely to develop oportunistic infections
once i begin my prescribed medications"
c. "i understand that this combo of drugs will kill the
virus"
d. "i should discontinue my medications if i develop
sever diarrhea"
5. the nurse is working in a community health center has b. "i will wear a surgical
instructed a group of pts who have AIDS about ways mask when i change my
to prevent infections. which of the following statement cat's litter box"
by a pt would indicate the need for additional teaching
a. "i should clean my toothbrush by running it through
the dishwater"
b. "i will wear a surgical mask when i change my cat's
litter box"
c. "i will notify my PCP if my temp is greater than 100"
d. "i will avoid drinking water that has been standing
for longer than 1 hour"
6. the nurse is preparing a newly hired nurse who is b. applies surgical mask
caring for a pt who has AIDS and has developed Kaposi before enetering pt's
Sarcome. It requires additional teaching by the precep- room
, NUR 265 EXAM 4
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tor if the newly hired nurse
a. instructs the pt that make-up can be applied to
lesion that are open
b. applies surgical mask before enetering pt's room
c. keeps open weeping lesions clean and covered with
prescribed dressing
d. inspect the pt's mouth at least once every 8 hours
7. the nurse is caring for a pt who had a heart transplant a. hypotension
24 hours ago. which of the following findings indicates
the pt is developing complications
a. hypotension
b. urticaria
c. prothrombin time of 11 sec
d. facial flushing
8. the nurse is caring for a pt who had a lung transplant a. developed sputum that
10 days ago. it would be a priority for the nurse to is yellow-tinged
notify the PCP if the pt has
a. developed sputum that is yellow-tinged
b. refused to get out of bed for the past 24 hours
c. a pain rating of 7 when taking a deep breath
d. only used the incentive spirometer once since last
eveninig
9. the nurse is caring for a pt who had a liver transplant d. 2,4,5,6,
48 hours ago. which findings from the box is a priority
for the nurse to report to the PCP
1. decrese in urine output from 50 to 30mL/hr since
surgery