Nokea
The nurse is caring for a client with human immunodeficiency virus (HIV). Which of the following conditions, if present in the client, should make the nurse concerned about the client developing acquired immunodeficiency syndrome (AIDS)? Select all that apply.
- A. Chronic, progressive visual loss
- B. Kaposi's sarcoma
- C. Wilms sarcoma
- D. Pulmonary tuberculosis
- E. Peripheral neuropathy
- F. Toxoplasma gondii
Correct Answer: B,D,F
Rationale: Kaposi's sarcoma, pulmonary tuberculosis, and Toxoplasma gondii are AIDS-defining conditions indicating progression to AIDS.
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The nurse is assessing a client with suspected Lyme disease. Which of the following findings would support a diagnosis of Lyme disease? Select all that apply.
- A. lymphadenopathy
- B. fatigue
- C. petechial rash
- D. arthralgias
- E. hemoptysis
Correct Answer: B,D
Rationale: Fatigue and arthralgias are common symptoms of Lyme disease, supporting the diagnosis.
The nurse is assessing a female client with syphilis. Which assessment finding would support this diagnosis?
- A. Dysuria
- B. Vaginal discharge
- C. Chancre lesion
- D. Dyspareunia
Correct Answer: C
Rationale: A chancre lesion is a hallmark sign of primary syphilis, appearing as a painless ulcer at the infection site.
The nurse is evaluating a client three days post-operative for signs and symptoms of infection. Which of the following is not a sign of infection from a surgical wound?
- A. Pus and clear drainage from the site
- B. Some redness along the edges of the site
- C. Increasing warmth from the wound
- D. Red streaks from the site
Correct Answer: B
Rationale: Some redness along the edges of a surgical wound is a normal part of the healing process, whereas pus, increasing warmth, and red streaks indicate infection.
The following scenario applies to the next 1 items
The nurse in the emergency department (ED) is caring for a 35-year-old male client with sepsis.
Item 1 of 1
Vital Signs
Orders
Laboratory Results
1744: T 102.5° F (39.2° C), P 112, RR 20, BP 90/60
The nurse should prioritize administering
- A. 0.9% sodium chloride (normal saline)
- B. acetaminophen.
- C. azithromycin.
- D. regular insulin
Correct Answer: A
Rationale: In sepsis, administering normal saline is a priority to restore intravascular volume and improve blood pressure.
An emergency department (ED) nurse just received a client exposed to inhalation anthrax. The nurse should anticipate that the ED health care provider (HCP) will prescribe which medication?
- A. Acyclovir
- B. Zidovudine
- C. Ciprofloxacin
- D. Oseltamivir
Correct Answer: C
Rationale: Ciprofloxacin is the recommended antibiotic for inhalation anthrax due to its efficacy against Bacillus anthracis.