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NUR 265 Exam 4 study questions with answers

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NUR 265 Exam 4 study questions with answers

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NUR 265 Exam 4 study questions with
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answers
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The nurse working in the ED has triaged a client who presented
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with chest pain, sob, a productive cough and reports or night
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sweats. The client has a health hx of AIDS and recents labs
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show a low CD4+ count. Which of the following actions should
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the nurse take next?
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- Initiate airborne precautions
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- Check the clients temp
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- Assess the client for shingles
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- Obtain a throat culture - CORRECT ANSWERS(S)✔✔Initiate
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airborne precautions
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The newly hired nurse is developing a plan of care for a client
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who has acquired AIDS and was just diagnosed with PJP. Which
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of the following interventions should the nurse preceptor
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question?
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- Offering the client foods high in calories and protein
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- Instructing the client to drink at least 2-3L of fluid throughout
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the day
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- Wearing a surgical mask when standing within 3 ft of the client
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,- Auscultating the client's breath sounds for crackles at least
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once per shift - CORRECT ANSWERS(S)✔✔Wearing a surgical
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mask when standing within 3 ft of the client.
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The nurse is caring for a patient who has AIDS and has just
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been diagnosed with toxoplasmosis encephalitis. Which of the
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following actions should the nurse take?
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- Thicken the pt's liquids to honey consistency
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- Initiate airborne precautions for the next 72 hrs
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- Ask the client if they ingested undercooked meat
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- Monitor the client's level of orientation - CORRECT
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ANSWERS(S)✔✔Ask the client if they ingested undercooked
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meat.
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The nurse working in a community health center has instructed
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a group of clients who have AIDS about ways to prevent
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infection. Which of the following statements by a client indicated
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the need for additional teaching?
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- I should clean my toothbrush by running it through the
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dishwasher once a week
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- I will avoid eating undercooked fruits and veggies
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- I will notify my provider if my temp is greater than 101 F
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- I will avoid drinking water that has been standing for longer
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than an hour. - CORRECT ANSWERS(S)✔✔I will notify my
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primary healthcare provider if my temp is greater than 101 F
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, The nurse is admitting a client who has AIDS and has developed
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an infection caused by cryptosporidium. Which of the following
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client statements is consistent with the diagnosis?
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- "I have lost 5 lbs this past week"
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- "I have developed a persistent dry cough"
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- "I have noticed that my speech has become slurred"
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-"I have noticed that my food does not taste the same" -
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CORRECT ANSWERS(S)✔✔"I have noticed that my speech has
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become slurred"
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The nurse is caring for a client who had a heart transplant 10
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years ago. Which findings from the box below require follow-up
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by the nurse?
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1. Prolonged prothrombin time (PT)
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2. Activity intolerance
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3. Weight gain of 3 lbs
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4. Shortness of breath
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5. Hypotension
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6. Irritability - CORRECT ANSWERS(S)✔✔2. Activity intolerance
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3. Weight gain of 3 lbs
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4. Shortness of breath
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5. Hypotension
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