Literally Exam 4 NUR265 (Answered with RATIONARE) Complete Solution updated april 2023

The nurse working in the ED is triaging a client who has presented with chest pain, shortness of breath, a productive cough, and reports nights sweats. That clients health history includes the presence of acquired immunodeficiency syndrome (AIDS) and the recent laboratory results that reveal a low CD4+ count. Airborne precautions have been initiated. Which of the following actions should the nurse take next? ANSWER: Check the client’s temperature 2 The nurse is caring for a client with AIDS who hasjust been diagnosed with cryptococcal meningitis.Which of the following actions should the nurse take? ANSWER: Initiate seizure precautions with padded side rails RATIONALE: Pg.965. Patients may have seizures. The nurse working in a community health center hasinstructed a group of clients who have acquiredimmune deficiency syndrome (AIDS) about ways to prevent infection. Which of the following statements, if made by a client, would indicate the need for additional teaching? ANSWER: “I will wear a surgical mask when I change my cat’slitter box.” RATIONALE: Pg. 974. Do not change cat’s litter box. Wear gloves and immediately wash hands. The nurse is caring for a client who had a heart transplant 24 hours ago. Which ofthe following findingsindicates the clients developing a complication? ANSWER: Hypotension RATIONALE: A fever is a symptom of AIDS exacerbation. The newly hired nurse is developing a plan of care for a client who has acquired AIDS and was just diagnosed with pneumocystis jiroveci pneumonia and pain. Which of the following interventions should the nurse preceptor question? ANSWER: Placing the client on a pressure-relieving mattress RATIONALE: That is not an appropriate intervention. The nurse had provided medication instructions to a client who has human immunodeficiency virus (HIV) and has been prescribed combination antiretroviral therapy (cART). Which of the following client statements indicates a correct understanding of the teaching? ANSWER:“I can avoid developing drug resistance if I take 90% of my drugs on time.” RATIONALE: Pg. 976. It is important to teach patients to take at least 90% of their meds on time to prevent drug resistance. The nurse is precepting a newly hired nurse who is caring for a client who has AIDS and has developed Kaposil’s sarcoma. It requires additional teaching by the preceptor if the newly hired nurse ANSWER: Applies a surgical mask before entering the client’s room. 3 RATIONALE: Pg.983. This is not an appropriate intervention