A client has a new diagnosis of human immunodeficiency virus HIV. The client
is distraught and does not know what to do. What intervention by the nurse is
the best?
- A. Offer to tell the family for the client
- B. Call the hospital clergy to speak with the client
- C. Assess the client's support system
- D. Explain the legal requirements to tell sex partners
Correct Answer: C
Rationale:
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The client with RA complains of intensely dry eyes. What does the nurse
suspect?
- A. Systemic sclerosis
- B. Sjogren's syndrome
- C. Chron's disease
- D. Discoid lupus
Correct Answer: B
Rationale:
A client just received a diagnosis of cancer. Which statement by the nurse
demonstrates empathy?
- A. "This must be hard news to hear. Tell me more about it."?
- B. "I believe you can overcome this because I have seen how strong you are."?
- C. "Tomorrow will be better."
- D. "What is your biggest fear about this diagnosis?"?
Correct Answer: A
Rationale:
A nurse is admitting a client who has tuberculosis. What transmission-based
precautions should the nurse initiate?
- A. Droplet
- B. Contact
- C. Airborne
- D. Protective
Correct Answer: C
Rationale:
Most adults with human immunodeficiency virus will exhibit which of the
following laboratory values?
- A. Higher than normal number of CD4+ T-cells and CD8+ T-cells are normal
- B. Lower than normal number of CD4+ T-cells and higher than normal CD8+ T-cells
- C. Higher than normal number of CD4+ T-cells and CD8+ T-cells are low
- D. Lower than normal number of CD4+ T-cells and CD8+ T-cells are normal
Correct Answer: D
Rationale:
What is the nurse's priority action for a client with compromised immunity?
- A. Wash hands before entering the client's room
- B. Take the client's vital signs every 4 hours
- C. Determine whether it is temporary or permanent
- D. Teach the family members to receive the flu shot annually
Correct Answer: A
Rationale: