Parents of a preschool child ask the nurse, "Should we set rules for our child as part of a discipline plan?" Which is an accurate response by the nurse?a....
The nurse is caring for an adolescent hospitalized for asthma. The adolescent belongs to a large family. The nurse recognizes that the adolescent is likely to relate to which group?
The nurse is caring for an adolescent hospitalized for asthma. The adolescent belongs to a large family. The nurse recognizes that the adolescent is likely...
The nurse is explaining different parenting styles to a group of parents. The nurse explains that an authoritative parenting style can lead to which child behavior?
The nurse is explaining different parenting styles to a group of parents. The nurse explains that an authoritative parenting style can lead to which child...
A foster parent is talking to the nurse about the health care needs for the child who has been placed in the parent's care. Which statement best describes the health care needs of foster children?
A foster parent is talking to the nurse about the health care needs for the child who has been placed in the parent's care. Which statement best describes...
The nurse is planning to counsel family members as a group to assess the family's group dynamics. Which theoretic family model is the nurse using as a framework?
The nurse is planning to counsel family members as a group to assess the family's group dynamics. Which theoretic family model is the nurse using as a...
The nurse is reviewing the importance of role learning for children. The nurse understands that children's roles are primarily shaped by which members?
The nurse is reviewing the importance of role learning for children. The nurse understands that children's roles are primarily shaped by which members?a....
A 3-year-old child was adopted immediately after birth. The parents have just asked the nurse how they should tell the child that she is adopted. Which guideline concerning adoption should the nurse use in planning a response?
A 3-year-old child was adopted immediately after birth. The parents have just asked the nurse how they should tell the child that she is adopted. Which...
Children may believe that they are responsible for their parents' divorce and interpret the separation as punishment. At which age is this most likely to occur?
Children may believe that they are responsible for their parents' divorce and interpret the separation as punishment. At which age is this most likely...
A parent of a school-age child tells the school nurse that the parents are going through a divorce. The child has not been doing well in school and sometimes has trouble sleeping. The nurse should recognize this as what?
A parent of a school-age child tells the school nurse that the parents are going through a divorce. The child has not been doing well in school and sometimes...
A mother brings 6-month-old Eric to the clinic for a well-baby checkup. She comments, "I want to go back to work, but I don't want Eric to suffer because I'll have less time with him." Which is the nurse's most appropriate answer?
A mother brings 6-month-old Eric to the clinic for a well-baby checkup. She comments, "I want to go back to work, but I don't want Eric to suffer because...
When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is called which?
When assessing a family, the nurse determines that the parents exert little or no control over their children. This style of parenting is called which?a....
When discussing discipline with the mother of a 4-year-old child, which should the nurse include?
When discussing discipline with the mother of a 4-year-old child, which should the nurse include?a. Parental control should be consistent.b. Withdrawal...
Which is a consequence of the physical punishment of children, such as spanking?
Which is a consequence of the physical punishment of children, such as spanking?a. The psychologic impact is usually minimal.b. The child's development...
The parents of a young child ask the nurse for suggestions about discipline. When discussing the use of time-outs, which should the nurse include?
The parents of a young child ask the nurse for suggestions about discipline. When discussing the use of time-outs, which should the nurse include?a....
Which type of family should the nurse recognize when the paternal grandmother, the parents, and two minor children live together?
Which type of family should the nurse recognize when the paternal grandmother, the parents, and two minor children live together?a. Blendedb. Nuclearc....
Which type of family should the nurse recognize when a mother, her children, and a stepfather live together?
Which type of family should the nurse recognize when a mother, her children, and a stepfather live together?a. Traditional nuclearb. Blendedc. Extendedd....
Which is an accurate description of homosexual (or gay-lesbian) families?
Which is an accurate description of homosexual (or gay-lesbian) families?a. A nurturing environment is lacking.b. The children become homosexual like...
The nurse is teaching a group of new nursing graduates about identifiable qualities of strong families that help them function effectively. Which quality should be included in the teaching?
The nurse is teaching a group of new nursing graduates about identifiable qualities of strong families that help them function effectively. Which quality...
A Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. Food items, such as Jell-O, Popsicles, and juices, are left. Which statement best explains this?
A Hispanic toddler has pneumonia. The nurse notices that the parent consistently feeds the child only the broth that comes on the clear liquid tray. Food...
How is family systems theory best described?
How is family systems theory best described?a. The family is viewed as the sum of individual members.b. A change in one family member cannot create a...
Which family theory is described as a series of tasks for the family throughout its life span?
Which family theory is described as a series of tasks for the family throughout its life span?a. Exchange theoryb. Developmental theoryc. Structural-functional...
Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?
Which family theory explains how families react to stressful events and suggests factors that promote adaptation to these events?a. Interactional theoryb....
Which term best describes the sharing of common characteristics that differentiates one group from other groups in a society?
Which term best describes the sharing of common characteristics that differentiates one group from other groups in a society?a. Raceb. Culturec. Ethnicityd....
After the family, which has the greatest influence on providing continuity between generations?
After the family, which has the greatest influence on providing continuity between generations?a. Raceb. Schoolc. Social classd. GovernmentAsnwer: B....
The nurse is planning care for a patient with a different ethnic background. Which should be an appropriate goal?
The nurse is planning care for a patient with a different ethnic background. Which should be an appropriate goal?a. Adapt, as necessary, ethnic practices...
The nurse discovers welts on the back of a Vietnamese child during a home health visit. The child's mother says she has rubbed the edge of a coin on her child's oiled skin. The nurse should recognize this as what?
The nurse discovers welts on the back of a Vietnamese child during a home health visit. The child's mother says she has rubbed the edge of a coin on her...
Children are taught the values of their culture through observation and feedback relative to their own behavior. In teaching a class on cultural competence, the nurse should be aware that which factor may be culturally determined?
Children are taught the values of their culture through observation and feedback relative to their own behavior. In teaching a class on cultural competence,...
The nurse is aware that if patients' different cultures are implied to be inferior, the emotional attitude the nurse is displaying is what?
The nurse is aware that if patients' different cultures are implied to be inferior, the emotional attitude the nurse is displaying is what?a. Acculturationb....
A client comes to the emergency department with a suspected airway obstruction. The emergency department team prepares to manage the client as if he has a complete airway obstruction based on which of the following?
A client comes to the emergency department with a suspected airway obstruction. The emergency department team prepares to manage the client as if he has...
Which of the following solid organs is most frequently injured in a penetrating trauma?
Which of the following solid organs is most frequently injured in a penetrating trauma?a) Brainb) Liverc) Pancreasd) LungsAsnwer: Li...
A patient presents to the ED complaining of choking on a chicken bone. The patient is breathing spontaneously. The nurse applies oxygen and suspects a partial airway obstruction. Which of the following should the nurse do next?
A patient presents to the ED complaining of choking on a chicken bone. The patient is breathing spontaneously. The nurse applies oxygen and suspects a...
A client arrives at the emergency department and is experiencing a severe allergic reacton to a bee sting. The client received treatment and is being discharged. Which client statement indicates that additional teaching about exposure prevention is needed?
A client arrives at the emergency department and is experiencing a severe allergic reacton to a bee sting. The client received treatment and is being...
A 40-year-old female patient is admitted to the ED with facial bruises and a broken right wrist. Upon further assessment, the nurse notes multiple bruises in various stages of healing. Which of the following is the nurse's best course of action?
A 40-year-old female patient is admitted to the ED with facial bruises and a broken right wrist. Upon further assessment, the nurse notes multiple bruises...
A client is brought to the emergency department by ambulance. The client is seriously ill and unconscious. No family or friends are present. Which of the following would be most appropriate to do?
A client is brought to the emergency department by ambulance. The client is seriously ill and unconscious. No family or friends are present. Which of...
A patient who has accidentally ingested toilet bowel cleaner is brought to the emergency department. Which action would NOT be appropriate for the nurse to implement?
A patient who has accidentally ingested toilet bowel cleaner is brought to the emergency department. Which action would NOT be appropriate for the nurse...
Which of the following solutions should the nurse anticipate for fluid replacement in the male patient?
Which of the following solutions should the nurse anticipate for fluid replacement in the male patient?a) Lactated Ringer's solutionb) Hypertonic salinec)...
The nurse in the ED is triaging patients during the shift. What does the nurse know is the first priority in treating any patient in the ED?
The nurse in the ED is triaging patients during the shift. What does the nurse know is the first priority in treating any patient in the ED?a) Controlling...
Which of the following triage categories refers to life-threatening or potentially life-threatening injury or illness requiring immediate treatment?
Which of the following triage categories refers to life-threatening or potentially life-threatening injury or illness requiring immediate treatment?a)...
A patient was bitten by a tick 3 months ago and is now having muscle aches as well as joint pain and swelling. The patient is having difficulty with self care and requires assistance with activities of daily living (ADLs). What stage of Lyme disease does the nurse recognize the patient is in?
A patient was bitten by a tick 3 months ago and is now having muscle aches as well as joint pain and swelling. The patient is having difficulty with self...
Which of the following phases of psychological reaction to rape is characterized by fear and flashbacks?
Which of the following phases of psychological reaction to rape is characterized by fear and flashbacks?a) Heightened anxiety phaseb) Reorganization phasec)...
Which category of triage encompasses patients with serious health problems that are not immediately life threatening?
Which category of triage encompasses patients with serious health problems that are not immediately life threatening?a) Psychological supportb) Urgentc)...
A patient with frostbite to both lower extremities from exposure to the elements is preparing to have rewarming of the extremities. What intervention should the nurse provide prior to the procedure?
A patient with frostbite to both lower extremities from exposure to the elements is preparing to have rewarming of the extremities. What intervention...
A nurse is assessing a patient who is suspected of having a partial airway obstruction. Which of the following would the nurse expect to find?
A nurse is assessing a patient who is suspected of having a partial airway obstruction. Which of the following would the nurse expect to find?a) Spontaneous...
A nurse is completing her annual cardiopulmonary resuscitation training. The class instructor tells her that a client has fallen off a ladder and is lying on his back; he is unconscious and isn't breathing. What maneuver should the nurse use to open his airway?
A nurse is completing her annual cardiopulmonary resuscitation training. The class instructor tells her that a client has fallen off a ladder and is lying...
Which of the following guidelines is appropriate to helping family members cope with sudden death?
Which of the following guidelines is appropriate to helping family members cope with sudden death?a) Provide details of the factors attendant to the sudden...
The nurse is caring for a patient in the ED following a sexual assault. The patient is hysterical and crying. The patient states, "I know I'm pregnant now, maybe I have HIV; why did this happen to me?" The nurse's best response is which of the following?
The nurse is caring for a patient in the ED following a sexual assault. The patient is hysterical and crying. The patient states, "I know I'm pregnant...
A patient presents to the ED following a motor vehicle collision. The patient is suspected of having internal hemorrhage. The nurse assesses the patient for signs and symptoms of shock. Signs and symptoms of shock include which of the following?
A patient presents to the ED following a motor vehicle collision. The patient is suspected of having internal hemorrhage. The nurse assesses the patient...
What is a common source of airway obstruction in an unconscious client?
What is a common source of airway obstruction in an unconscious client?a) Edemab) Saliva or mucusc) The tongued) A foreign objectAsnwer: The ton...
A nurse is establishing a patient's airway. Which action would the nurse perform first?
A nurse is establishing a patient's airway. Which action would the nurse perform first?a) Using the jaw-thrust maneuverb) Inserting an artificial airwayc)...
An adolescent is brought to the ED after a vehicular accident and is pronounced dead on arrival (DOA). When the parents arrive at the hospital, what is the priority action by the nurse?
An adolescent is brought to the ED after a vehicular accident and is pronounced dead on arrival (DOA). When the parents arrive at the hospital, what is...
Following an earthquake, a client who was rescued from a collapsed building is seen in the emergency department. He has blunt trauma to the thorax and abdomen. The nursing observation that most suggests the client is bleeding is:
Following an earthquake, a client who was rescued from a collapsed building is seen in the emergency department. He has blunt trauma to the thorax and...
A patient is admitted to the ED after a near-drowning accident. The patient is diagnosed with saltwater aspiration. The nurse will observe the patient for several hours to monitor for symptoms of which of the following?
A patient is admitted to the ED after a near-drowning accident. The patient is diagnosed with saltwater aspiration. The nurse will observe the patient...
A patient presents to the ED with serious health problems that are not immediately life threatening. The nurse will correctly triage the patient into which of the following categories?
A patient presents to the ED with serious health problems that are not immediately life threatening. The nurse will correctly triage the patient into...
Which triage category would a patient that requires simple first aid or basic primary care?
Which triage category would a patient that requires simple first aid or basic primary care?a) Fast trackb) Nonurgentc) Urgentd) EmergentAsnwer: Fast...
A patient present to the ED following a work-related injury to the left hand. The patient has an avulsion of the left ring finger. Which of the following correctly describes an avulsion?
A patient present to the ED following a work-related injury to the left hand. The patient has an avulsion of the left ring finger. Which of the following...
A client is brought to the emergency department with suspected genitourinary injury. The nurse prepares the client for insertion of an indwelling urinary catheter for bladder decompression and urine output monitoring. The nurse reviews the client's medical record to ensure that which of the following has been completed?
A client is brought to the emergency department with suspected genitourinary injury. The nurse prepares the client for insertion of an indwelling urinary...
Acetaminophen overdose is treated with the administration of which of the following medications?
Acetaminophen overdose is treated with the administration of which of the following medications?a) Flumazenil (Romazicon)b) Diazepam (Valium)c) Naloxone...
A patient is brought to the emergency department after being locked outside of her house in the frigid weather for several hours. The nurse suspects that the patient has sustained frostbite of her hand based on which of the following findings?
A patient is brought to the emergency department after being locked outside of her house in the frigid weather for several hours. The nurse suspects that...
The nurse received a patient from a motor vehicle accident who is hemorrhaging from a femoral wound. What is the initial nursing action for the control of the hemorrhage?
The nurse received a patient from a motor vehicle accident who is hemorrhaging from a femoral wound. What is the initial nursing action for the control...
A finger sweep is only to be used in which patient population?
A finger sweep is only to be used in which patient population?a) Childb) Unconscious adultc) Adolescentd) Conscious adultAsnwer: Unconscious ad...
Which of the following triage categories refers to life-threatening or potentially life-threatening injury or illness requiring immediate treatment?
Which of the following triage categories refers to life-threatening or potentially life-threatening injury or illness requiring immediate treatment?a)...
Nursing students are reviewing information about endotracheal intubation. They demonstrate understanding of the information when they identify which of the following as a reason for this procedure?
Nursing students are reviewing information about endotracheal intubation. They demonstrate understanding of the information when they identify which of...
Nursing students are reviewing information about endotracheal intubation. They demonstrate understanding of the information when they identify which of the following as a reason for this procedure?
Nursing students are reviewing information about endotracheal intubation. They demonstrate understanding of the information when they identify which of...
A patient with a history of major depressive disorder is brought to the emergency department by a friend, who reports that the patient took an overdose of prescribed amitriptyline. Which of the following findings would the nurse expect to assess?
A patient with a history of major depressive disorder is brought to the emergency department by a friend, who reports that the patient took an overdose...
A client suspected of acetaminophen (Tylenol) toxicity reports that he ingested the medication at 7 p.m. At what time should the nurse anticipate laboratory tests to assess the acetaminophen level?
A client suspected of acetaminophen (Tylenol) toxicity reports that he ingested the medication at 7 p.m. At what time should the nurse anticipate laboratory...
The nurse is administering antivenin to a patient who was bitten on the arm by a poisonous snake. What intervention provided by the nurse is required prior to the procedure and every 15 minutes after?
The nurse is administering antivenin to a patient who was bitten on the arm by a poisonous snake. What intervention provided by the nurse is required...
A client with depression and behavioral changes is transferred from a local assisted living center to the emergency department. The nurse notes that the client cries out when she approaches. When the nurse gains the client's confidence and performs an assessment, the nurse notes bruising of the labia and a lateral laceration in the perineal area. When the nurse asks the client about the injury, the client shakes her head and begins to cry "don't tell, don't tell." The nurse suspects sexual abuse. How should the nurse proceed?
A client with depression and behavioral changes is transferred from a local assisted living center to the emergency department. The nurse notes that the...
Which category of triage encompasses patients with serious health problems that are not immediately life threatening?
Which category of triage encompasses patients with serious health problems that are not immediately life threatening?a) Nonurgentb) Emergentc) Psychological...
A female patient was sexually assaulted when leaving work. When assisting with the physical examination, what nursing interventions should be provided?
A female patient was sexually assaulted when leaving work. When assisting with the physical examination, what nursing interventions should be provided?a)...
A patient has undergone a diagnostic peritoneal lavage. The nurse interprets which result as indicating a positive test?
A patient has undergone a diagnostic peritoneal lavage. The nurse interprets which result as indicating a positive test?a) Red blood cell count of 50,000/mm3b)...
Which of the following would the nurse identify as indicating that a client is experiencing a complete airway obstruction?
Which of the following would the nurse identify as indicating that a client is experiencing a complete airway obstruction? a) Spontaneous coughingb)...
When assessing a client with suspected carbon monoxide poisoning, which finding would be least reliable?
When assessing a client with suspected carbon monoxide poisoning, which finding would be least reliable?a) Headacheb) Palpitationsc) Confusiond) Cherry...
A nurse is working as a camp nurse during the summer. A camp counselor comes to the clinic after receiving a snakebite on the arm. What is the first action by the nurse?
A nurse is working as a camp nurse during the summer. A camp counselor comes to the clinic after receiving a snakebite on the arm. What is the first action...
A nurse who is a member of an emergency response team anticipates that several patients with airway obstruction may need a cricothyroidotomy. For which of the following patients would this procedure be appropriate?
A nurse who is a member of an emergency response team anticipates that several patients with airway obstruction may need a cricothyroidotomy. For which...
Following a motor vehicle collision, a patient is brought to the ED for evaluation and treatment. The patient is being assessed for intra-abdominal injuries. The patient states severe left shoulder pain (pain score of 10 on a 1 to 10 pain scale). The nurse suspects injury to which of the following?
Following a motor vehicle collision, a patient is brought to the ED for evaluation and treatment. The patient is being assessed for intra-abdominal injuries....
After inserting an oropharyngeal airway, the nurse determines that it is in the proper position when the flange is located at which position?
After inserting an oropharyngeal airway, the nurse determines that it is in the proper position when the flange is located at which position?a) Just below...
As part of an emergency department team, an emergency nurse is conducting a secondary survey on a client. Which of the following would the nurse include?
As part of an emergency department team, an emergency nurse is conducting a secondary survey on a client. Which of the following would the nurse include?a)...
A male patient presents to the ED with a stab wound to the abdomen following an assault. It is suspected that the patient has an injury to his pancreas. Which of the following laboratory studies is used to detect pancreatic injury?
A male patient presents to the ED with a stab wound to the abdomen following an assault. It is suspected that the patient has an injury to his pancreas....
A triage nurse in the ED determines that a patient with dyspnea and dehydration is not in a life-threatening situation. What triage category will the nurse choose?
A triage nurse in the ED determines that a patient with dyspnea and dehydration is not in a life-threatening situation. What triage category will the...
A patient who has accidentally ingested toilet bowel cleaner is brought to the emergency department. Which action would NOT be appropriate for the nurse to implement?
A patient who has accidentally ingested toilet bowel cleaner is brought to the emergency department. Which action would NOT be appropriate for the nurse...
A patient is brought to the emergency department following an overdose of a selective serotonin reuptake inhibitor (SSRI). While assessing the patient, the nurse suspects that the patient may be developing serotonin syndrome based on which of the following?
A patient is brought to the emergency department following an overdose of a selective serotonin reuptake inhibitor (SSRI). While assessing the patient,...
A is patient being cared for in the ED. The patient is assigned to the triage category of "urgent." How often must the nurse reassess the patient?
A is patient being cared for in the ED. The patient is assigned to the triage category of "urgent." How often must the nurse reassess the patient?a) Every...
A home health nurse is visiting a 74-year-old client with Alzheimer's disease. During the visit, the nurse notes bruising on the client's upper arms, and the client is more withdrawn than normal. The client is unable to communicate effectively because of his disease progression. The nurse suspects elder abuse. What is the nurse's responsibility in this situation?
A home health nurse is visiting a 74-year-old client with Alzheimer's disease. During the visit, the nurse notes bruising on the client's upper arms,...
Nursing students are reviewing the categories of intra-abdominal injuries. The students demonstrate understanding of the information when they identify which of the following as examples of penetrating trauma?
Nursing students are reviewing the categories of intra-abdominal injuries. The students demonstrate understanding of the information when they identify...
A patient is brought to the emergency department and diagnosed with decompression sickness. The nurse interprets this as indicating that the patient most likely has been involved with which of the following?
A patient is brought to the emergency department and diagnosed with decompression sickness. The nurse interprets this as indicating that the patient most...
A nurse is providing care to an older adult client who has frostbite of the feet. Which action would be least appropriate?
A nurse is providing care to an older adult client who has frostbite of the feet. Which action would be least appropriate?a) Placing sterile cotton between...
Bell's palsy is a disorder of which cranial nerve?
Bell's palsy is a disorder of which cranial nerve?a) Trigeminal (V)b) Vagus (X)c) Vestibulocochlear (VIII)d) Facial (VII)Asnwer: Facial (V...
The primary North American vector transmitting arthropod-borne virus encephalitis is the
The primary North American vector transmitting arthropod-borne virus encephalitis is thea) horse.b) flea.c) tick.d) mosquitoAsnwer: mosqu...
Which is a chronic, degenerative, progressive disease of the central nervous system characterized by the occurrence of demyelination in the brain and spinal cord?
Which is a chronic, degenerative, progressive disease of the central nervous system characterized by the occurrence of demyelination in the brain and...
Which of the following is the priority nursing intervention for a patient in myasthenic crisis?
Which of the following is the priority nursing intervention for a patient in myasthenic crisis?a) Ensuring adequate nutritional supportb) Administering...
The nurse caring for a patient with bacterial meningitis is administering dexamethasone (Decadron) that has been ordered as an adjunct to antibiotic therapy. When does the nurse know is the appropriate time to administer this medication?
The nurse caring for a patient with bacterial meningitis is administering dexamethasone (Decadron) that has been ordered as an adjunct to antibiotic therapy....
The nurse is assessing a client newly diagnosed with myasthenia gravis. Which of the following signs would the nurse most likely observe?
The nurse is assessing a client newly diagnosed with myasthenia gravis. Which of the following signs would the nurse most likely observe?a) Numbnessb)...
The nurse is performing an initial assessment on a client with suspected Bell's palsy. Which of the following findings would the nurse be most focused on related to this medical diagnosis?
The nurse is performing an initial assessment on a client with suspected Bell's palsy. Which of the following findings would the nurse be most focused...
A client who recently experienced a stroke tells the nurse that he has double vision. Which nursing intervention is the most appropriate?
A client who recently experienced a stroke tells the nurse that he has double vision. Which nursing intervention is the most appropriate?a) Encourage...
A patient suspected of having Guillain-Barré syndrome has had a lumbar puncture for cerebrospinal fluid (CSF) evaluation. When reviewing the laboratory results, what does the nurse find that is diagnostic for this disease?
A patient suspected of having Guillain-Barré syndrome has had a lumbar puncture for cerebrospinal fluid (CSF) evaluation. When reviewing the laboratory...
A nurse is providing education to a client with newly diagnosed multiple sclerosis (MS). Which of the following will the nurse include?
A nurse is providing education to a client with newly diagnosed multiple sclerosis (MS). Which of the following will the nurse include?a) Avoid physical...
A patient has been diagnosed with a frontal lobe brain abscess. Which of the following nursing interventions is appropriate?
A patient has been diagnosed with a frontal lobe brain abscess. Which of the following nursing interventions is appropriate?a) Initiate seizure precautions.b)...
During a Tensilon test to determine if a patient has myasthenia gravis, the patient complains of cramping and becomes diaphoretic. Vital signs are BP 130/78, HR 42, and respiration 18. What intervention should the nurse prepare to do?
During a Tensilon test to determine if a patient has myasthenia gravis, the patient complains of cramping and becomes diaphoretic. Vital signs are BP...
The diagnosis of multiple sclerosis is based on which of the following tests?
The diagnosis of multiple sclerosis is based on which of the following tests?a) Cerebrospinal fluid (CSF) electrophoresisb) Magnetic resonance imaging...
The nurse has been educating a patient newly diagnosed with MS. Which of the following statements by the patient indicates an understanding of the education?
The nurse has been educating a patient newly diagnosed with MS. Which of the following statements by the patient indicates an understanding of the education?a)...
Guillain-Barré syndrome is an autoimmune attack on the peripheral myelin sheath. Which of the following is an action of myelin?
Guillain-Barré syndrome is an autoimmune attack on the peripheral myelin sheath. Which of the following is an action of myelin?a) Acts as chemical messengerb)...
The diagnosis of multiple sclerosis is based upon which of the following tests?
The diagnosis of multiple sclerosis is based upon which of the following tests?a) Evoked potential studiesb) CSF electrophoresisc) Neuropsychological...
Vagus nerve demyelinization, which may occur in Guillain-Barré syndrome, is manifested by which of the following?
Vagus nerve demyelinization, which may occur in Guillain-Barré syndrome, is manifested by which of the following?a) Blindnessb) Bulbar weaknessc) Inability...
Which of the following is the most common clinical manifestation of multiple sclerosis?
Which of the following is the most common clinical manifestation of multiple sclerosis?a) Painb) Spasticityc) Ataxiad) FatigueAsnwer: Fati...
A client in a long-term nursing facility has severe dysphagia. Which of the following would best assist this client in preventing further complications?
A client in a long-term nursing facility has severe dysphagia. Which of the following would best assist this client in preventing further complications?a)...
A nurse is assisting with a neurological examination of a client who reports a headache in the occipital area and shows signs of ataxia and nystagmus. Which of the following conditions is the most likely reason for the client's problems?
A nurse is assisting with a neurological examination of a client who reports a headache in the occipital area and shows signs of ataxia and nystagmus....
Guillain-Barré syndrome is an autoimmune attack on the peripheral myelin sheath. Which of the following is an action of myelin?
Guillain-Barré syndrome is an autoimmune attack on the peripheral myelin sheath. Which of the following is an action of myelin?a) Acts as chemical messengerb)...
Which client goal, established by the nurse, is most important as the nurse plans care for a seizure client in the home setting?
Which client goal, established by the nurse, is most important as the nurse plans care for a seizure client in the home setting?a) The client will take...
A patient is receiving mitoxantrone (Novantrone) for treatment of secondary progressive multiple sclerosis (MS). This patient should be closely monitored for
A patient is receiving mitoxantrone (Novantrone) for treatment of secondary progressive multiple sclerosis (MS). This patient should be closely monitored...
The nurse is caring for a patient with GBS in the intensive care unit and is assessing the patient for autonomic dysfunction. What interventions should be provided in order to determine the presence of autonomic dysfunction?
The nurse is caring for a patient with GBS in the intensive care unit and is assessing the patient for autonomic dysfunction. What interventions should...
Which of the following is a component of the nursing management of the patient with new variant Creutzfeldt-Jakob disease (nvCJD)?
Which of the following is a component of the nursing management of the patient with new variant Creutzfeldt-Jakob disease (nvCJD)?a) Initiating isolation...
The most common cause of cholinergic crisis includes which of the following?
The most common cause of cholinergic crisis includes which of the following?a) Overmedicationb) Compliance with medicationc) Undermedicationd) Infect...
The nurse is assessing a newly admitted client with a diagnosis of meningitis. On assessment, the nurse expects to find which of the following?
The nurse is assessing a newly admitted client with a diagnosis of meningitis. On assessment, the nurse expects to find which of the following?a) Negative...
Which drug should be available to counteract the effect of Tensilon?
Which drug should be available to counteract the effect of Tensilon?a) Imuranb) Prednisonec) Mestinond) AtropineAnswer: Atrop...
A 45-year-old client is admitted to the facility with excruciating paroxysmal facial pain. He reports that the episodes occur most often after feeling cold drafts and drinking cold beverages. Based on these findings, the nurse determines that the client is most likely suffering from which neurologic disorder?
A 45-year-old client is admitted to the facility with excruciating paroxysmal facial pain. He reports that the episodes occur most often after feeling...
Which of the following nursing interventions is appropriate for a patient with double vision in the right eye due to MS?
Which of the following nursing interventions is appropriate for a patient with double vision in the right eye due to MS?a) Exercise the right eye twice...
Medical management of arthropod-borne virus (arboviral) encephalitis is aimed at
Medical management of arthropod-borne virus (arboviral) encephalitis is aimed ata) controlling seizures and increased intracranial pressure.b) preventing...
A patient diagnosed with MS 2 years ago has been admitted to the hospital with another relapse. The previous relapse was followed by a complete recovery with the exception of occasional vertigo. What type of MS does the nurse recognize this patient most likely has?
A patient diagnosed with MS 2 years ago has been admitted to the hospital with another relapse. The previous relapse was followed by a complete recovery...
The nurse is taking health history from a client admitted to rule out Guillain-Barre syndrome. An important question to ask related to the diagnosis is which of the following?
The nurse is taking health history from a client admitted to rule out Guillain-Barre syndrome. An important question to ask related to the diagnosis is...
A patient with myasthenia gravis is in the hospital for treatment of pneumonia. The patient informs the nurse that it is very important to take pyridostigmine bromide (Mestinon) on time. The nurse gets busy and does not administer the medication until after breakfast. What outcome will the patient have related to this late dose?
A patient with myasthenia gravis is in the hospital for treatment of pneumonia. The patient informs the nurse that it is very important to take pyridostigmine...
The nurse is caring for a patient in the emergency department with an onset of pain related to trigeminal neuralgia. What subjective data stated by the patient does the nurse determine triggered the paroxysms of pain?
The nurse is caring for a patient in the emergency department with an onset of pain related to trigeminal neuralgia. What subjective data stated by the...
Within the acute care facility where you practice nursing, you have cared for hundreds of clients who have suffered neurologic deficits from various causes, including cerebrovascular accident and closed head injury. While caring for these clients, what was an important nursing goal that motivated you to offer the best care possible?
Within the acute care facility where you practice nursing, you have cared for hundreds of clients who have suffered neurologic deficits from various causes,...
A client with weakness and tingling in both legs is admitted to the medical-surgical unit with a tentative diagnosis of Guillain-Barré syndrome. On admission, which assessment is most important for this client?
A client with weakness and tingling in both legs is admitted to the medical-surgical unit with a tentative diagnosis of Guillain-Barré syndrome. On admission,...
Stephen Oswald, a 68-year-old retired salesman, was brought by squad into the acute care facility where you practice nursing. His wife accompanies him and relates how Stephen reported a severe headache and then was unable to talk or move his right arm and leg. After diagnostics are completed and Mr. Oswald is admitted to the hospital, when would you expect basic rehabilitation to begin?
Stephen Oswald, a 68-year-old retired salesman, was brought by squad into the acute care facility where you practice nursing. His wife accompanies him...
Guillain-Barré syndrome is an autoimmune attack on the peripheral myelin sheath. Which of the following is an action of myelin?
Guillain-Barré syndrome is an autoimmune attack on the peripheral myelin sheath. Which of the following is an action of myelin?a) Represents building...
The nurse is evaluating the progression of a client in the home setting. Which activity of the hemiplegic client best indicates that the client is assuming independence?
The nurse is evaluating the progression of a client in the home setting. Which activity of the hemiplegic client best indicates that the client is assuming...
The nurse is performing an initial nursing assessment on a client with possible Guillain-Barre syndrome. Which of the following findings would be most consistent with this diagnosis?
The nurse is performing an initial nursing assessment on a client with possible Guillain-Barre syndrome. Which of the following findings would be most...
A client is brought to the emergency department in a confused state, with slurred speech, characteristics of a headache, and right facial droop. The vital signs reveal a blood pressure of 170/88 mm Hg, pulse of 92 beats/minute, and respirations at 24 breaths/minute. On which bodily system does the nurse focus the nursing assessment?
A client is brought to the emergency department in a confused state, with slurred speech, characteristics of a headache, and right facial droop. The vital...
The initial symptoms of variant Creutzfeldt-Jakob disease (vCJD) include which of the following?
The initial symptoms of variant Creutzfeldt-Jakob disease (vCJD) include which of the following?a) Akathisia and dysphagiab) Muscle rigidity, memory impairment,...
The nurse is caring for a patient with MS who is having spasticity in the lower extremities that decreases physical mobility. What interventions can the nurse provide to assist with relieving the spasms?
The nurse is caring for a patient with MS who is having spasticity in the lower extremities that decreases physical mobility. What interventions can the...
The nurse is assisting with administering a Tensilon test to a patient with ptosis. If the test is positive for myasthenia gravis, what outcome does the nurse know will occur?
The nurse is assisting with administering a Tensilon test to a patient with ptosis. If the test is positive for myasthenia gravis, what outcome does the...
Which of the following is the first-line therapy for myasthenia gravis (MG)?
Which of the following is the first-line therapy for myasthenia gravis (MG)?a) Pyridostigmine bromide (Mestinon)b) Lioresal (Baclofen)c) Azathioprine...
Which of the following is the priority nursing intervention for a patient in myasthenic crisis?
Which of the following is the priority nursing intervention for a patient in myasthenic crisis?a) Ensuring adequate nutritional supportb) Assessing respiratory...
Myasthenia gravis occurs when antibodies attack which receptor sites?
Myasthenia gravis occurs when antibodies attack which receptor sites?a) Dopamineb) Gamma-aminobutyric (GABA)c) Serotonind) AcetylcholineAnswer: ...
A patient has been brought to the ED with altered LOC, high fever, and a purpura rash on the lower extremities. The family states the patient was complaining of neck stiffness earlier in the day. What action should the nurse do first?
A patient has been brought to the ED with altered LOC, high fever, and a purpura rash on the lower extremities. The family states the patient was complaining...
A patient with Bell's palsy says to the nurse, "It doesn't hurt anymore to touch my face. How am I going to get muscle tone back so I don't look like this anymore?" What interventions can the nurse suggest to the patient?
A patient with Bell's palsy says to the nurse, "It doesn't hurt anymore to touch my face. How am I going to get muscle tone back so I don't look like...
The nurse is caring for a client admitted with a diagnosis of septic meningitis. The nurse is aware that this infection is caused by which of the following?
The nurse is caring for a client admitted with a diagnosis of septic meningitis. The nurse is aware that this infection is caused by which of the following?a)...
The nurse is caring for a patient with MS who is having spasticity in the lower extremities that decreases physical mobility. What interventions can the nurse provide to assist with relieving the spasms?
The nurse is caring for a patient with MS who is having spasticity in the lower extremities that decreases physical mobility. What interventions can the...
The parents of a patient intubated due to the progression of Guillain-Barré syndrome ask if their child will die. What is the best response by the nurse?
The parents of a patient intubated due to the progression of Guillain-Barré syndrome ask if their child will die. What is the best response by the nurse?a)...
Which of the following is considered a central nervous system (CNS) disorder?
Which of the following is considered a central nervous system (CNS) disorder?a) Bell's palsyb) Multiple sclerosisc) Guillain-Barréd) Myasthenia gravisAnswer: Multiple...
Cerebrospinal fluid (CSF) studies would indicate which of the following in a patient suspected of having meningitis?
Cerebrospinal fluid (CSF) studies would indicate which of the following in a patient suspected of having meningitis?a) Increased proteinb) Decreased proteinc)...
A patient has been diagnosed with meningococcal meningitis at a community living home. When should prophylactic therapy begin for those who have had close contact with the patient?
A patient has been diagnosed with meningococcal meningitis at a community living home. When should prophylactic therapy begin for those who have had close...
The patient with herpes simplex virus (HSV) encephalitis is receiving acyclovir (Zovirax). The nurse monitors blood chemistry test results and urinary output for
The patient with herpes simplex virus (HSV) encephalitis is receiving acyclovir (Zovirax). The nurse monitors blood chemistry test results and urinary...
The nurse is expecting to admit a client with a diagnosis of meningitis. While preparing the client's room, which of the following would the nurse most likely have available?
The nurse is expecting to admit a client with a diagnosis of meningitis. While preparing the client's room, which of the following would the nurse most...
Which of the following is a rare, transmissible, progressive fatal disease of the CNS characterized by spongiform degeneration of the gray matter of the brain?
Which of the following is a rare, transmissible, progressive fatal disease of the CNS characterized by spongiform degeneration of the gray matter of the...
A client with a tentative diagnosis of myasthenia gravis is admitted for a diagnostic workup. Myasthenia gravis is confirmed by:
A client with a tentative diagnosis of myasthenia gravis is admitted for a diagnostic workup. Myasthenia gravis is confirmed by:a) Brudzinski's sign.b)...
Which of the following is a contraindication for the administration of tissue plasminogen activator (t-PA)?
Which of the following is a contraindication for the administration of tissue plasminogen activator (t-PA)?a) Systolic blood pressure less than or equal...
A client is receiving an I.V. infusion of mannitol (Osmitrol) after undergoing intracranial surgery to remove a brain tumor. To determine whether this drug is producing its therapeutic effect, the nurse should consider which finding most significant?
A client is receiving an I.V. infusion of mannitol (Osmitrol) after undergoing intracranial surgery to remove a brain tumor. To determine whether this...
The nurse is providing diet-related advice to a male patient following a cerebrovascular accident (CVA). The patient wants to minimize the volume of food and yet meet all nutritional elements. Which of the following suggestions should the nurse give to the patient about controlling the volume of food intake?
The nurse is providing diet-related advice to a male patient following a cerebrovascular accident (CVA). The patient wants to minimize the volume of food...
A patient is admitted via ambulance to the emergency room of a stroke center at 1:30 p.m. with symptoms that the patient said began at 1:00 p.m. Within 1 hour, an ischemic stroke had been confirmed and the doctor ordered tPA. The nurse knows to give this drug no later than what time?
A patient is admitted via ambulance to the emergency room of a stroke center at 1:30 p.m. with symptoms that the patient said began at 1:00 p.m. Within...
A patient has been diagnosed as having global aphasia. The nurse recognizes that the patient will be unable to do which of the following actions?
A patient has been diagnosed as having global aphasia. The nurse recognizes that the patient will be unable to do which of the following actions?a) Form...
Which of the following is the initial diagnostic test for a stroke?
Which of the following is the initial diagnostic test for a stroke?a) Noncontrast CT scanb) Transcranial Doppler studiesc) ECGd) Carotid DopplerAnswer: Noncontrast...
Which of the following statements reflect nursing management of the patient with expressive aphasia?
Which of the following statements reflect nursing management of the patient with expressive aphasia?a) Frequently reorient the patient to time, place,...
A 73-year-old client is visiting the neurologist. The client reports light-headedness, speech disturbance, and left-sided weakness that have lasted for several hours. In the examination, an abnormal sound is auscultated in an artery leading to the brain. What is the term for the auscultated discovery?
A 73-year-old client is visiting the neurologist. The client reports light-headedness, speech disturbance, and left-sided weakness that have lasted for...
Which of the following is accurate regarding a hemorrhagic stroke?
Which of the following is accurate regarding a hemorrhagic stroke?a) It is caused by a large-artery thrombosis.b) One of the main presenting symptoms...
A patient presents to the emergency room with complaints of having an "exploding headache" for the last 2 hours. The patient is immediately seen by a triage nurse who suspects the patient is experiencing a stroke. Which of the following is a possible cause based on the characteristic symptom?
A patient presents to the emergency room with complaints of having an "exploding headache" for the last 2 hours. The patient is immediately seen by a...
A physician orders several drugs for a client with hemorrhagic stroke. Which drug order should the nurse question?
A physician orders several drugs for a client with hemorrhagic stroke. Which drug order should the nurse question?a) Phenytoin (Dilantin)b) Methyldopa...
A client is admitted with weakness, expressive aphasia, and right hemianopia. The brain MRI reveals an infarct. The nurse understands these symptoms to be suggestive of which of the following findings?
A client is admitted with weakness, expressive aphasia, and right hemianopia. The brain MRI reveals an infarct. The nurse understands these symptoms to...
While providing information to a community group, the nurse tells them the primary initial symptoms of a hemorrhagic stroke are:
While providing information to a community group, the nurse tells them the primary initial symptoms of a hemorrhagic stroke are:a) Footdrop and external...
The nurse practitioner advises a patient who is at high risk for a stroke to be vigilant in his medication regime, to maintain a healthy weight, and to adopt a reasonable exercise program. This advice is based on research data that shows the most important risk factor for stroke is:
The nurse practitioner advises a patient who is at high risk for a stroke to be vigilant in his medication regime, to maintain a healthy weight, and to...
Which of the following antiseizure medication has been found to be effective for post-stroke pain?
Which of the following antiseizure medication has been found to be effective for post-stroke pain?a) Carbamazepine (Tegretol)b) Lamotrigine (Lamictal)c)...
Which of the following is the most common side effect of tissue plasminogen activator (tPA)?
Which of the following is the most common side effect of tissue plasminogen activator (tPA)?a) Increased intracranial pressure (ICP)b) Hypertensionc)...
A patient diagnosed with a stroke is ordered to receive warfarin (Coumadin). Later, the nurse learns that the warfarin is contraindicated and the order is canceled. The nurse knows that the best alternative medication to give is which of the following?
A patient diagnosed with a stroke is ordered to receive warfarin (Coumadin). Later, the nurse learns that the warfarin is contraindicated and the order...
A patient who has suffered a stroke begins having complications regarding spasticity in the lower extremity. What ordered medication does the nurse administer to help alleviate this problem?
A patient who has suffered a stroke begins having complications regarding spasticity in the lower extremity. What ordered medication does the nurse administer...
A nurse knows that, for a patient with an ischemic stroke, tPA is contraindicated if the blood pressure reading is:
A nurse knows that, for a patient with an ischemic stroke, tPA is contraindicated if the blood pressure reading is:a) 170 mm Hg/105 mm Hgb) 185 mm Hg/110...
A client has experienced an ischemic stroke that has damaged the lower motor neurons of the brain. Which of the following deficits would the nurse expect during assessment?
A client has experienced an ischemic stroke that has damaged the lower motor neurons of the brain. Which of the following deficits would the nurse expect...
A nurse is working with a student nurse who is caring for a client with an acute bleeding cerebral aneurysm. Which action by the student nurse requires further intervention?
A nurse is working with a student nurse who is caring for a client with an acute bleeding cerebral aneurysm. Which action by the student nurse requires...
Which of the following terms refer to the inability to perform previously learned purposeful motor acts on a voluntary basis?
Which of the following terms refer to the inability to perform previously learned purposeful motor acts on a voluntary basis?a) Agraphiab) Perseverationc)...
A patient is in the acute phase of an ischemic stroke. How long does the nurse know that this phase may last?
A patient is in the acute phase of an ischemic stroke. How long does the nurse know that this phase may last?a) Up to 1 weekb) Up to 24 hoursc) 1 to 3...
The provider diagnoses the patient as having had an ischemic stroke. The etiology of an ischemic stroke would include which of the following?
The provider diagnoses the patient as having had an ischemic stroke. The etiology of an ischemic stroke would include which of the following?a) Cerebral...
The nurse is caring for a patient with aphasia. Which of the following strategies will the nurse use to facilitate communication with the patient?
The nurse is caring for a patient with aphasia. Which of the following strategies will the nurse use to facilitate communication with the patient?a) Avoiding...
A client is admitted to the intensive care unit (ICU) with a diagnosis of cerebrovascular accident (CVA). Which assessment by the nurse provides the most significant finding in differentiating between ischemic and hemorrhagic strokes?
A client is admitted to the intensive care unit (ICU) with a diagnosis of cerebrovascular accident (CVA). Which assessment by the nurse provides the most...
A 64-year-old client reports symptoms consistent with a transient ischemic attack (TIA) to the physician in the emergency department. After completing ordered diagnostic tests, the physician indicates to the client what caused the symptoms that brought him to the hospital. What is the origin of the client's symptoms?
A 64-year-old client reports symptoms consistent with a transient ischemic attack (TIA) to the physician in the emergency department. After completing...
The nurse is caring for a patient with dysphagia. Which of the following interventions would be contraindicated while caring for this patient?
The nurse is caring for a patient with dysphagia. Which of the following interventions would be contraindicated while caring for this patient?a) Allowing...
A nurse is caring for a client who has returned to his room after a carotid endarterectomy. Which action should the nurse take first?
A nurse is caring for a client who has returned to his room after a carotid endarterectomy. Which action should the nurse take first?a) Take the client's...
A client is admitted with weakness, expressive aphasia, and right hemianopia. The brain MRI reveals an infarct. The nurse understands these symptoms to be suggestive of which of the following findings?
A client is admitted with weakness, expressive aphasia, and right hemianopia. The brain MRI reveals an infarct. The nurse understands these symptoms to...
While providing information to a community group, the nurse tells them the primary initial symptoms of a hemorrhagic stroke are:
While providing information to a community group, the nurse tells them the primary initial symptoms of a hemorrhagic stroke are:a) Footdrop and external...
The nurse is caring for a patient with aphasia. Which of the following strategies will the nurse use to facilitate communication with the patient?
The nurse is caring for a patient with aphasia. Which of the following strategies will the nurse use to facilitate communication with the patient?a) Speaking...
A nurse is working with a student nurse who is caring for a client with an acute bleeding cerebral aneurysm. Which action by the student nurse requires further intervention?
A nurse is working with a student nurse who is caring for a client with an acute bleeding cerebral aneurysm. Which action by the student nurse requires...
Which of the following insults or abnormalities can cause an ischemic stroke?
Which of the following insults or abnormalities can cause an ischemic stroke?a) Arteriovenous malformationb) Intracerebral aneurysm rupturec) Cocaine...
The nurse is providing information about strokes to a community group. Which of the following would the nurse identify as the primary initial symptoms of an ischemic stroke?
The nurse is providing information about strokes to a community group. Which of the following would the nurse identify as the primary initial symptoms...
When communicating with a client who has sensory (receptive) aphasia, the nurse should:
When communicating with a client who has sensory (receptive) aphasia, the nurse should:a) speak loudly and articulate clearly.b) allow time for the client...
During a class on stroke, a junior nursing student asks what the clinical manifestations of stroke are. What would be the instructor's best answer?
During a class on stroke, a junior nursing student asks what the clinical manifestations of stroke are. What would be the instructor's best answer?a)...
Which of the following terms refer to the failure to recognize familiar objects perceived by the senses?
Which of the following terms refer to the failure to recognize familiar objects perceived by the senses?a) Agnosiab) Perseverationc) Apraxiad) Agraph...
A client is hospitalized when they present to the Emergency Department with right-sided weakness. Within 6 hours of being admitted, the neurologic deficits had resolved and the client was back to their presymptomatic state. The nurse caring for the client knows that the probable cause of the neurologic deficit was what?
A client is hospitalized when they present to the Emergency Department with right-sided weakness. Within 6 hours of being admitted, the neurologic deficits...
A client with a cerebrovascular accident (CVA) is having difficulty with eating food on the plate. Which is the best nursing action to be taken?
A client with a cerebrovascular accident (CVA) is having difficulty with eating food on the plate. Which is the best nursing action to be taken?a) Reposition...
Which disturbance results in loss of half of the visual field?
Which disturbance results in loss of half of the visual field?a) Anisocoriab) Homonymous hemianopsiac) Nystagmusd) DiplopiaAnswer: Homonymous he...
An emergency department nurse is interviewing a client with signs of an ischemic stroke that began 2 hours ago. The client reports that she had a cholecystectomy 6 weeks ago and is taking digoxin, coumadin, and labetelol. This client is not eligible for thrombolytic therapy for which of the following reasons?
An emergency department nurse is interviewing a client with signs of an ischemic stroke that began 2 hours ago. The client reports that she had a cholecystectomy...
The nurse is caring for a patient with a history of transient ischemic attacks (TIAs) and moderate carotid stenosis who has undergone a carotid endarterectomy. Which of the following postoperative findings would cause the nurse the most concern?
The nurse is caring for a patient with a history of transient ischemic attacks (TIAs) and moderate carotid stenosis who has undergone a carotid endarterectomy....
Which blood test confirms the presence of antibodies to HIV?
Which blood test confirms the presence of antibodies to HIV?a) Enzyme-linked immunosorbent assay (ELISA)b) Erythrocyte sedimentation rate (ESR)c) p24...
The client comes to the clinic to obtain the results from the test to determine if he is infected with HIV. The physician informs the client that he has a CD4 cell count of 300 cells/mm3 and a high viral load. What does the nurse anticipate the physician will discuss with the client?
The client comes to the clinic to obtain the results from the test to determine if he is infected with HIV. The physician informs the client that he has...
Which of the following indicates that a client with HIV has developed AIDS?
Which of the following indicates that a client with HIV has developed AIDS?a) Weight loss of 10 lb over 3 monthsb) Pain on standing and walkingc) Severe...
The balance between the amount of HIV in the body and the immune response is the:
The balance between the amount of HIV in the body and the immune response is the:a) Anergyb) Window periodc) Viral set pointd) Viral load testAnswer: Viral...
Which of the following options should the nurse encourage to replace fluid and electrolyte losses in a patient with AIDS?
Which of the following options should the nurse encourage to replace fluid and electrolyte losses in a patient with AIDS?a) Glutenb) Liquidsc) Sucrosed)...
Which of the following is usually the most important consideration in decisions to initiate antiretroviral therapy?
Which of the following is usually the most important consideration in decisions to initiate antiretroviral therapy?a) HIV RNAb) ELISAc) Western blot assayd)...
A nurse is caring for a client with human immunodeficiency virus (HIV). To determine the effectiveness of treatment the nurse expects the physician to order:
A nurse is caring for a client with human immunodeficiency virus (HIV). To determine the effectiveness of treatment the nurse expects the physician to...
A client with AIDS is admitted to the hospital with severe diarrhea and dehydration. The physician suspects an infection with Cryptosporidium. What type of specimen should be collected to confirm this diagnosis?
A client with AIDS is admitted to the hospital with severe diarrhea and dehydration. The physician suspects an infection with Cryptosporidium. What type...
A client taking abacavir (ABC) has developed fever and rash. What is the priority nursing action?
A client taking abacavir (ABC) has developed fever and rash. What is the priority nursing action?a) Administer acetaminophen (Tylenol).b) Call the health...
The nurse is administering an injection to a client with AIDS and, when finished, attempts to recap the needle and sustains a needlestick to the finger. What is the priority action by the nurse?
The nurse is administering an injection to a client with AIDS and, when finished, attempts to recap the needle and sustains a needlestick to the finger....
A client with AIDS is exhibiting shortness of breath, cough, and fever. The nurse most likely would suspect infection with which of the following?
A client with AIDS is exhibiting shortness of breath, cough, and fever. The nurse most likely would suspect infection with which of the following?a) Pneumocystis...
A patient with HIV develops a nonproductive cough, shortness of breath, a fever of 101°F and an O2 saturation of 92%. What infection caused by Pneumocystis jiroveci does the nurse know could occur with this patient?
A patient with HIV develops a nonproductive cough, shortness of breath, a fever of 101°F and an O2 saturation of 92%. What infection caused by Pneumocystis...
A client visits the nurse complaining of diarrhea every time he eats. The client has AIDS and wants to know what he can do to stop having diarrhea. What should the nurse advise?
A client visits the nurse complaining of diarrhea every time he eats. The client has AIDS and wants to know what he can do to stop having diarrhea. What...
A patient with AIDS informs the nurse of difficulty eating and swallowing, and shows the nurse white patches in the mouth. What problem related to AIDS does the nurse understand the patient has developed?
A patient with AIDS informs the nurse of difficulty eating and swallowing, and shows the nurse white patches in the mouth. What problem related to AIDS...
The nurse teaches the patient that lowering his or her viral load will have what effect?
The nurse teaches the patient that lowering his or her viral load will have what effect?a) A shorter survival timeb) A shorter time to AIDS diagnosisc)...
A client with HIV will be started on a medication regimen of three medications. Which medication will be given that will interfere with the virus's ability to make a genetic blueprint. What drug will the nurse instruct the client about?
A client with HIV will be started on a medication regimen of three medications. Which medication will be given that will interfere with the virus's ability...
A nurse is implementing appropriate infection control precautions for a client who is positive for human immunodeficiency virus (HIV). The nurse demonstrates a need for a review of transmission routes by identifying which body fluid as a means of transmission?
A nurse is implementing appropriate infection control precautions for a client who is positive for human immunodeficiency virus (HIV). The nurse demonstrates...
When learning about HIV/AIDS, the student should be able to differentiate the two subtypes of virus by ____.
When learning about HIV/AIDS, the student should be able to differentiate the two subtypes of virus by ____.a) Cure rate of the virusb) Means of transmissionc)...
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