WITH QUESTIONS AND EXPERT-
VERIFIED CORRECT ANSWERS |
ALREADY GRADED A+ |
GUARANTEED PASS | NUR 211 EXAM
A client with acquired immune deficiency syndrome has oral thrush and difficulty
eating. What actions does the nurse delegate to the unlicensed assistive personnel
(UAP)? (Select all that apply.)
a. Apply oral anesthetic gels before meals.
b. Assist the client with oral care every 2 hours.
c. Offer the client frequent sips of cool drinks.
d. Provide the client with alcohol-based mouthwash.
e. Remind the client to use only a soft toothbrush. - ANSWER-B,C,E
The UAP can help the client with oral care, offer fluids, and remind the client of
things the nurse (or other professional) has already taught. Applying medications is
,performed by the nurse. Alcohol-based mouthwashes are harsh and drying and
should not be used.
A client with acquired immune deficiency syndrome is in the hospital with severe
diarrhea. What actions does the nurse delegate to the unlicensed assistive personnel
(UAP)? (Select all that apply.)
a. Assessing the client's fluid and electrolyte status
b. Assisting the client to get out of bed to prevent falls
c. Obtaining a bedside commode if the client is weak
d. Providing gentle perianal cleansing after stools
e. Reporting any perianal abnormalities - ANSWER-B,C,D,E
The UAP can assist the client with getting out of bed, obtain a bedside commode
for the clients use, cleanse the clients perianal area after bowel movements, and
report any abnormal observations such as redness or open areas. The nurse assesses
fluid and electrolyte status.
***The nurse is caring for a young client who has acquired immune deficiency
syndrome (AIDS) and a very low CD4+ cell count. The nurse is teaching the client
how to avoid infection at home. Which statement by the client indicates that
additional teaching is needed?
a.
I will let my sister clean my pet iguanas cage from now on.
b.
My brother will change the kitty litter box from now on.
c.
It will seem funny but I'll run my toothbrush through the dishwasher.
d.
,I will not drink juice that has been sitting out for longer than an hour. - ANSWER-I
will let my sister clean my pet iguanas cage from now on.
Immunocompromised clients should avoid having reptiles or turtles as pets and
should avoid changing cat litter to help prevent opportunistic infections. Drinking
juice that has been at room temperature for longer than 1 hour can lead to
opportunistic infection and should be avoided. Clients should clean their
toothbrushes daily by running them in the dishwasher or rinsing them in liquid
laundry bleach.
The nurse is working with a client at a public health clinic. The client says to the
nurse, The doctor said that my CD4+ count is 450. Is that good? What is the
nurse's best response?
a.
Your count is high so you can cut back on your medication.
b.
Your count is normal because your medications are working well.
c.
Your count is a bit low and you are susceptible to infection.
d.
Your count is very low and you actually now have AIDS. - ANSWER-c.
Your count is a bit low and you are susceptible to infection.
A CD4+ T-cell count of 450 cells/mm3 of blood is low, and the client is at
increased risk for developing an infection. Normal CD4+ counts range from 800 to
1000 cells/mm3. To be diagnosed with AIDS, a client must have a CD4+ T-cell
count of <200 cells/mm3 (or a CD4+ T-cell percentage of <4%) and/or an
opportunistic infection.
, ***The nurse is caring for a young woman at the primary health care clinic. Which
assessment finding leads the nurse to question the client about risk factors for
HIV?
a.
Six vaginal yeast infections in the last 12 months
b.
Unable to become pregnant for the last 2 years
c.
Severe cramping and irregular periods
d.
Very heavy periods and breakthrough bleeding - ANSWER-a.
Six vaginal yeast infections in the last 12 months
Persistent or recurrent vaginal candidiasis may be the first symptom of HIV in
women. Decreased immune function allows overgrowth of this fungus. Infertility,
heavy periods, and cramping are not generally indicative of HIV.
An HIV-negative client who has an HIV-positive partner asks the nurse about
receiving Truvada (emtricitabine and tenofovir). What information is most
important to teach the client about this drug?
a. Truvada does not reduce the need for safe sex practices.
b. This drug has been taken off the market due to increases in cancer.
c. Truvada reduces the number of HIV tests you will need.
d. This drug is only used for postexposure prophylaxis. - ANSWER-a. Truvada
does not reduce the need for safe sex practices.
Truvada is a new drug used for pre-exposure prophylaxis and appears to reduce
transmission of human immunodeficiency virus (HIV) from known HIV-positive