AC3 + EXAM 2 PRACTICE Questions with Correct Answers|100% verified

AC3 + EXAM 2 PRACTICE Questions with Correct Answers A 27 year old paraplegic male has an admission diagnosis of sepsis and currently receiving Vancomycin. A peak and trough level is to be performed with this dose of the medication. What should the nurse do first? - Correct Answer-Check to be certain trough level was drawn. A patient with multiple organ dysfunction syndrome has gone into septic shock. She is being given Solu-cortef 100mg IV/100mL NS over 30min Q4H x 8 doses. What two lab abnormalities must the nurse monitor for? (Select all that apply) - Correct Answer-Hypokalemia Hyperglycemia A patient has been admitted with a gram negative rod urinary tract infection. The first dose of Iv Vancomycin has completely infused. Which symptoms would the nurse be most concerned about? - Correct Answer-Rales at bases of lungs bilaterally. A girl is being treated for primary amoebic meningoencephalitis. She is symptomatic from the parasite, which has attacked her brain. She has peripheral 3+ pitting edema, respirations of 32, a core temperature of 96F, and an arterial blood pressure of 70/32. What is she displaying signs and symptoms of? - Correct Answer-MODS A 50 year male patient is 2 days post op from a colon resection for stage II colon cancer. Tioday his T is 102.1 orally, apical pulse is 132, and cardiac output is 7.4L. He is becoming confused. What other s/s of sepsis may the patient exhibit? (Select all that apply). - Correct Answer-Decreased capillary refill, skin mottling, increased PAWP. Sodium and water retention. Abdominal distention and paralytic ileus. Low potassium. Sepsis is commonly caused by which bacteria? - Correct Answer-Gram negative rods. Fluids known to be modes of transmission for HIV include (Select all that apply). - Correct Answer-Plasma Semen A nurse is caring for a pregnant client with a history of human immunodeficiency virus (HIV). Which nursing diagnosis, if formulated by the nurse, has the highest priority for this client? - Correct Answer-Risk for Infection. Which characterize(s) HIV disease? (Select all that apply). - Correct Answer-Symptoms result from opportunistic pathology. HIC invades cells primarily through the bloodstream. People testing positive for HIV may be carrier and contagious, even though they have no symptoms. A 34-year-old man has AIDS. He was admitted to the nursing unit with a diagnosis of P. jiroveci pneumonia. The priority goal of nursing care for him should be to: - Correct Answer-Promote oxygen/carbon dioxide exchange. Yes, promoting O2-CO2 exchange has the highest priority with this diagnosis. Pneumonia causes fluid, mucous, and pus that interfer with gas exchange. and These are not goals. A 16-year-old client has a negative HIV test at your clinic. Post HIV test counseling. Should include which of the following? (Select all that apply) - Correct Answer-An explanation of the window period in HIV infection. A discussion of the client's risk behaviors for HIV infection. Teaching on how to prevent HIV infection. The nurse is assisting a client who is HIV positive to do long-range planning. She should note that, although it varies from client to client, the period of time between seroconversion to an HIV-positive state and the appearance of symptoms of AIDS is generally? - Correct Answer-9-12 years. Because of more effective drugs and better follow-up care, the median interval between seroconversion to an HIV-positive state and the appearance of symptoms of AIDS is about 11 years. Of course this varies from individual to individual. A nurse is caring for several clients with HIV/AIDS. The nurse recognizes that this disease is transmitted how? (Select all that apply). - Correct Answer-Through blood or blood products. Through breastfeeding. The most effective treatment of Pneumocystis jiroveci pneumonia involves which drug? - Correct Answer-Trimethoprim-sulfamethoxazole (Bactrim) A patient with AIDS who also has tuberculosis shows the nurse the following medications that he is taking. The nurse knows that which drug is used to treat human immunodeficiency virus infection? - Correct Answer-Zidovudine (AZT) Which groups of people presently are at highest risk for contracting AIDS? - Correct Answer-Heterosexual women.