test bank foundations of nursing

test bank foundations of nursing Related

Review test bank foundations of nursing related questions and content

A nurse is performing the admission assessment of a patient who has AIDS. What components should the nurse include in this comprehensive assessment? Select all that apply.

  • A. Current medication regimen
  • B. Identification of patients support system
  • C. Immune system function
  • D. Genetic risk factors for HIV E) History of sexual practices Chapter 37: Allergies: Terminologies, Causes of Allergic reactions: Causes, skin testing, labs, Emergency care, Hereditary angioedema, Latex allergy, Allergic rhinitis
Correct Answer: A

Rationale: The correct answer is A: Current medication regimen. In the admission assessment of a patient with AIDS, it is crucial to assess the patient's current medication regimen to ensure proper management of the condition. This includes antiretroviral therapy, prophylactic medications, and any other medications the patient may be taking to manage comorbidities. Understanding the medications the patient is currently taking allows the nurse to assess for potential drug interactions, side effects, and adherence to the treatment plan. This information is essential for providing safe and effective care for the patient.

Choice B: Identification of patients support system is important but not a specific component of the comprehensive assessment for a patient with AIDS.

Choice C: Immune system function is a relevant aspect in a patient with AIDS, but it is not typically assessed in the admission assessment as it requires specialized testing.

Choice D: Genetic risk factors for HIV are not typically assessed in the admission assessment of a patient with AIDS as the focus is on the current condition and management

You may also like to solve these questions

The patient is an 80-year-old male who is visiting the clinic today for a routine physical examination. The patient’s skin turgor is fair, but the patient reports fatigue and weakness. The skin is warm and dry, pulse rate is 116 beats/min, and urinary sodium level is slightly elevated. Which instruction should the nurse provide?

  • A. Drink more water to prevent further dehydration.
  • B. Drink more calorie-dense fluids to increase caloric intake.
  • C. Drink more milk and dairy products to decrease the risk of osteoporosis.
  • D. Drink more grapefruit juice to enhance vitamin C intake and medication absorption.
Correct Answer: A

Rationale: The correct answer is A: Drink more water to prevent further dehydration. Given the patient's fair skin turgor, fatigue, weakness, warm and dry skin, elevated pulse rate, and slightly elevated urinary sodium level, these are signs of dehydration. Increasing water intake would help improve the patient's hydration status. Other choices are incorrect because B (calorie-dense fluids) does not address the dehydration issue, C (milk and dairy products) does not directly address the symptoms presented, and D (grapefruit juice) is not essential for hydration in this case.

A 6-year-old child is brought to the pediatric clinic for the assessment of redness and discharge from the eye and is diagnosed with viral conjunctivitis. What is the most important information to discuss with the parents and child?

  • A. Handwashing can prevent the spread of the disease to others.
  • B. The importance of compliance with antibiotic therapy
  • C. Signs and symptoms of complications, such as meningitis and septicemia
  • D. The likely need for surgery to prevent scarring of the conjunctiva
Correct Answer: A

Rationale: Step 1: Handwashing is crucial in preventing the spread of viral conjunctivitis, which is highly contagious.
Step 2: Children often touch their eyes and then surfaces, aiding in disease transmission.
Step 3: Educating parents and the child on proper hand hygiene can help contain the infection.
Step 4: Antibiotics are not effective against viral infections, so compliance is not necessary.
Step 5: Complications like meningitis and septicemia are extremely rare with viral conjunctivitis.
Step 6: Surgery is not indicated for viral conjunctivitis, as it is a self-limiting condition.

The patient is on parenteral nutrition and is lethargic. The patient reports thirst and headache and has had increased urination. Which problem does the nurse prepare to address?

  • A. Hyperglycemia
  • B. Hypoglycemia
  • C. Hypercapnia
  • D. Hypocapnia
Correct Answer: A

Rationale: The correct answer is A: Hyperglycemia. The patient's symptoms like lethargy, thirst, headache, increased urination are indicative of high blood sugar levels. Lethargy is a common symptom of hyperglycemia due to the body's inability to use glucose effectively. Thirst and increased urination occur as the body tries to get rid of excess glucose through urine. Headache can result from dehydration due to increased urination. To address hyperglycemia, the nurse may need to adjust the patient's parenteral nutrition, monitor blood glucose levels, and potentially administer insulin.

Incorrect choices:
B: Hypoglycemia - Symptoms of hypoglycemia include sweating, confusion, and shakiness, which are not present in this case.
C: Hypercapnia - This is high carbon dioxide levels in the blood, typically caused by respiratory issues, not related to the symptoms described.
D: Hypocapnia - This is low carbon dioxide levels

A patient was prescribed an oral antibiotic for the treatment of sinusitis. The patient has now stopped, stating she developed a rash shortly after taking the first dose of the drug. What is the nurses most appropriate response?

  • A. Encourage the woman to continue with the medication while monitoring her skin condition closely.
  • B. Refer the woman to her primary care provider to have the medication changed.
  • C. Arrange for the woman to go to the nearest emergency department.
  • D. Encourage the woman to take an OTC antihistamine with each dose of the antibiotic.
Correct Answer: B

Rationale: The correct answer is B: Refer the woman to her primary care provider to have the medication changed.

Rationale:
1. Rash after taking the first dose of an antibiotic suggests a possible allergic reaction.
2. Allergic reactions can range from mild to severe, including anaphylaxis.
3. It is crucial to discontinue the suspected medication to prevent worsening of the reaction.
4. Referring the patient to their primary care provider ensures proper evaluation and management.
5. Changing the medication is necessary to avoid potential harm from continued exposure.

Summary:
A: Continuing the medication can worsen the allergic reaction and is not recommended.
C: Going to the emergency department may be excessive at this point for a mild rash.
D: Taking an antihistamine does not address the underlying issue of an allergic reaction.

A patient has been prescribed sildenafil. What should the nurse teach the patient about this medication?

  • A. Sexual stimulation is not needed to obtain an erection.
  • B. The drug should be taken 1 hour prior to intercourse.
  • C. Facial flushing or headache should be reported to the physician immediately.
  • D. The drug has the potential to cause permanent visual changes.
Correct Answer: A

Rationale: The correct answer is A because sildenafil works by enhancing the effects of nitric oxide, which is released during sexual stimulation to relax the muscles in the penis and increase blood flow for an erection. Therefore, sexual stimulation is necessary for the medication to be effective.

Explanation of other choices:
B: While sildenafil is typically taken 30 minutes to 4 hours before sexual activity, it does not need to be exactly 1 hour prior.
C: Facial flushing and headache are common side effects of sildenafil but do not require immediate reporting unless severe or persistent.
D: Sildenafil may cause temporary visual disturbances like changes in color vision, but permanent visual changes are rare.

Copyright © 2025 Nokea. All rights reserved.