Which of the following statements by a client with human immunodeficiency
virus (HIV) does NOT requires further teaching?
- A. I can spread this through contact with surfaces, so I need to wear gloves in public.'
- B. Because I have HIV, that means I'm an AIDS patient'
- C. I need to ensure that I place my needles in a proper needle disposal container.'
- D. I can still have unprotected intercourse with my partner since he does not have HIV.'
Correct Answer: C
Rationale:
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A nurse is caring for an intubated and sedated geriatric client. What
intervention is most appropriate for reducing the risk for a friction and shear
injury?
- A. Use a mechanical lift to reposition the client every 2 hours
- B. Elevate the client's head of the bed to 45 degrees
- C. Postpone daily bed bath
- D. Caregiver independently slides the client up in the bed
Correct Answer: A
Rationale:
The 65-year-old male client who is complaining of blurred vision reports he
thinks his glasses need to be cleaned all the time and he denies any type of eye
pain. Which eye disorder should the nurse suspects the clients has?
- A. Cataracts
- B. Diabetic retinopathy
- C. Corneal dystrophy
- D. Conjunctivitis
Correct Answer: A
Rationale:
What is a symptom of the expected disease pattern of rheumatoid arthritis?
- A. Unilateral joint pain
- B. Bilateral joint pain
- C. Contralateral joint pain
- D. Obtuse variety joint pain
Correct Answer: B
Rationale:
A goal for a client with impaired mobility is to prevent skin breakdown. What
nursing intervention would best help the client meet this goal?
- A. Assist the client to orthopneic position
- B. Offer the client a bedpan for toileting
- C. Offer a protein-rich diet
- D. Turn the client every 2 hours
Correct Answer: D
Rationale:
Which practice is recommended to prevent human immune deficiency virus
(HIV) transmission by health care workers?
- A. Wearing a mask within three feet of the client
- B. Intentional
- C. Using standard precautions
- D. Proliferative
Correct Answer: C
Rationale: