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Literally Exam 4 NUR265 (Answered with RATIONARE)
Complete Solution updated april 2023
NUR265 Literally Exam 4 (100% Correct
Answers with Rationale)
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
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 is caring for a client with AIDS who has just 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 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
The nurse working in a community health center has instructed 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’s litter box.”
prevent drug resistance.
RATIONALE: Pg. 974. Do not change cat’s litter box. Wear gloves and immediately wash hands.
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.
The nurse is caring for a client who had a heart transplant 24 hours ago. Which of the following findingsindicates
the clients developing a complication?
ANSWER: Hypotension
, 3
RATIONALE: Pg.983. This is not an appropriate intervention.
Literally Exam 4 NUR265 (Answered with RATIONARE)
Complete Solution updated april 2023
NUR265 Literally Exam 4 (100% Correct
Answers with Rationale)
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
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 is caring for a client with AIDS who has just 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 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
The nurse working in a community health center has instructed 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’s litter box.”
prevent drug resistance.
RATIONALE: Pg. 974. Do not change cat’s litter box. Wear gloves and immediately wash hands.
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.
The nurse is caring for a client who had a heart transplant 24 hours ago. Which of the following findingsindicates
the clients developing a complication?
ANSWER: Hypotension
, 3
RATIONALE: Pg.983. This is not an appropriate intervention.
