A client who abused intravenous drugs was diagnosed with the human Immunodeficiency virus (HIV) several years ago.
The nurse explains that the diagnostic criterion for acquired immunodeficiency syndrome (AIDS) has been met when the client:

Develops an acute retroviral syndrome

Has a CD4+ T lymphocyte level of less than 200 cells/mm

Is capable of transmitting the virus to others

Contracts HIV-specific antibodies A nurse is caring for a client who has been diagnosed as HIV positive.

Answer and Explanation

The Correct Answer is B

Choice A rationale:
Acute retroviral syndrome (ARS) is an early stage of HIV infection that often presents with flu-like symptoms. It does not determine AIDS diagnosis.

Choice B rationale:
A CD4+ T lymphocyte level of less than 200 cells/mm is a defining criterion for AIDS diagnosis. This low count indicates a severely weakened immune system, leading to susceptibility to opportunistic infections and other AIDS-defining illnesses.

Choice C rationale:
A person with HIV can transmit the virus to others regardless of their CD4+ T cell count. Transmission risk is not a diagnostic criterion for AIDS.

Choice D rationale:
HIV-specific antibodies are produced by the immune system in response to HIV infection but their presence does not signify AIDS progression.

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Correct Answer is B

Explanation

Choice A rationale:
Administering the medication without first assessing the pain could lead to inappropriate medication administration and potentially mask underlying issues. It's crucial to gather more information about the pain before providing any medication.

Choice C rationale:
While repositioning might offer some relief in certain cases, it's not the first step in pain management. A thorough assessment to understand the nature, location, and severity of the pain is essential for determining the most appropriate intervention.

Choice D rationale:
Reviewing the effects of previous pain medication is important, but it doesn't take priority over assessing the current pain. Understanding the current pain experience is necessary to make informed decisions about medication administration and other interventions.
Choice B rationale:

Determining the location of the pain is the crucial first step in pain assessment. It helps to: Identify the potential source of the pain, which can guide treatment choices.
Understand the pain's characteristics, such as its quality, intensity, and duration.
Evaluate for any associated symptoms or patterns, which can provide further insights into the underlying cause. Assess for any aggravating or alleviating factors, which can help tailor treatment strategies.
Monitor the effectiveness of interventions by comparing changes in pain location and characteristics.

A. “Were you feeling jittery or irritable prior to the seizure?” B. “Are you feeling sleepy or very tired at this time?” C. “When did you last take your seizure medication?” D. “Do you know if you lost consciousness during the seizure?”

Correct Answer is C

Explanation

Choice A rationale:
While inquiring about pre-seizure symptoms can be informative, it's not the most crucial question at this point. The priority is to gather information about medication adherence to assess potential causes for the breakthrough seizure.

Choice B rationale:
Assessing for post-ictal fatigue is important, but it's not the most pressing question in the immediate aftermath of a seizure. Determining medication adherence takes precedence.

Choice D rationale:
Establishing whether consciousness was lost can aid in classifying seizure type, but it's not as critical as understanding medication adherence in the initial assessment.

Choice C rationale:
This question directly addresses a potential cause of the seizure. Understanding when the client last took their medication can help determine if missed or delayed doses contributed to the seizure, guide medication adjustments, and inform further seizure prevention strategies.

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A client who abused intravenous drugs was diagnosed with the human Immunodeficiency virus (HIV) several years ago. The nurse explains that the diagnostic criterion for acquired immunodeficiency syndrome (AIDS) has been met when the client:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?

Correct Answer is B

Explanation

A client with a history of seizures is being admitted to the emergency room after experiencing a partial seizure. Which question would be most appropriate for the nurse to ask the client?

Correct Answer is C

Explanation

A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include?

A client has a prescription for seizure precaution. Which intervention should the nurse include in the plan of care?

The nurse is providing discharge instructions to a patient who has a prescription for phenytoin. Which of the following information should the nurse include?

A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?

A nurse is teaching a female client who has a new diagnosis of systemic lupus erythematosus (SLE). The nurse should recognize the need for further teaching when the client identifies which of the following as a factor that can exacerbate SLE?

A client who abused intravenous drugs was diagnosed with the human Immunodeficiency virus (HIV) several years ago. The nurse explains that the diagnostic criterion for acquired immunodeficiency syndrome (AIDS) has been met when the client:

A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which of the following manifestations should the nurse include in the explanation of initial symptoms?

A client who abused intravenous drugs was diagnosed with the human Immunodeficiency virus (HIV) several years ago.
The nurse explains that the diagnostic criterion for acquired immunodeficiency syndrome (AIDS) has been met when the client: