ATI MEDSURG 2 NUR 265 LATEST UPDATES QUESTION AND ANSWERS AGRADE100% VERIFIED. 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 hi

ATI MEDSURG 2 NUR 265 LATEST UPDATES QUESTION AND ANSWERS AGRADE100% VERIFIED. 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 ncludes the presence of acquired immunodeficiency syndrome (AIDS) and the recent laboratory results that reveal a low CD4+ count. Airborne precautions have been intated. Which of the folowing actions should the nurse take next? ANSWER: Check the client’s temperature RATIONALE: A fever s 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 jirovec pneumonia and pain. Which of the folowng interventions should the nurse preceptor question? ANSWER: Placing the cient on a pressure-relieving mattress RATIONALE: That is not an appropriate intervention. The nurse is carng for a clent 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 sde rails RATIONALE: Pg.965. Patients may have seizures. The nurse had provded medication instructons to a client who has human mmunodeficiency virus (HIV) and has been prescrbed 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 tme.” 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 working in a community heath center has instructed a group of clients who have acquired immune deficiency syndrome (AIDS) about ways to prevent infection. Which of the following statements, if made by a cient, would indicate the need for additiona teaching?ANSWER: “I will wear a surgical mask when I change my cat’s litter box.” 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 carng fora cient who has AIDS and has developed Kaposil’s sarcoma. It requires additional teaching by the preceptor if the newy hired nurseANSWER: Applies a surgical mask before entering the client’s room. RATIONALE: Pg.983. This is not an appropriate intervention. The nurse is carng for a clent who had a heart transplant24 hours ago. Which of the followng findings indicates the clents developing a complcation? ANSWER: Hypotenson RATIONALE: Pg.1842. Hypotension is a symptom of heart transplant rejection.