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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Free Nursing Study Resources

Correct Answer is ["033"]

Explanation

Step 1 is to calculate the number of milliliters (mL) that contain the ordered dose of 300 mg of clindamycin.

Step 2 is to divide the total milliliters (mL) from Step 1 by the infusion time in minutes to get the flow rate in mL/hour. Here are the calculations:

Step 1:

900 mg of clindamycin is in 50 mL.

To find the mL that contain 300 mg, set up a proportion:

(300 mg / 900 mg) = (x mL / 50 mL) Cross-multiply and solve for x:

x = (300 mg * 50 mL) / 900 mg x = 16.67 mL

Step 2:

The infusion time is 30 minutes.

Divide the total mL (16.67 mL) by the infusion time in hours to get the flow rate in mL/hour: Flow rate = 16.67 mL / (30 minutes / 60 minutes/hour)

Flow rate = 33.33 mL/hour

Round to the nearest whole number, using a leading zero if it applies, and no trailing zero: Flow rate = 033 mL/hour

A. Loosen the patient's clothing B. Ease the patient to the floor if standing C. Restrain the patient D. Protect the patient's mouth with a padded tongue blade E. Provide privacy

Correct Answer is ["A","B","E"]

Explanation

Choice A rationale:
Loosening the patient's clothing around the neck and chest promotes easier breathing during the seizure. It also prevents potential injury from constrictive clothing that could restrict movement or circulation.
Choice B rationale:
Easing the patient to the floor if they are standing helps to prevent falls and injuries that could occur due to loss of consciousness and muscle control during the seizure. It's crucial to guide the patient gently to the floor to avoid abrupt movements that could trigger or worsen the seizure.
Choice C rationale:
Restraining the patient during a seizure is not recommended as it can cause harm. Attempting to restrain a patient's movements during a seizure can lead to muscle strains, joint injuries, or even fractures. It can also increase anxiety and agitation, potentially prolonging the seizure.
Choice D rationale:
Protecting the patient's mouth with a padded tongue blade is not necessary and can even be dangerous. It was once a common practice, but it's now discouraged as it can cause oral injuries, obstruct the airway, or induce vomiting.

Choice E rationale:
Providing privacy helps to protect the patient's dignity and reduce any potential embarrassment during the seizure. It also creates a calmer and less stimulating environment, which can be beneficial in managing the seizure.

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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

Correct Answer is ["033"]

Explanation

The client tells the nurse, "I am about to have a seizure." Which of the actions should the nurse implement? (Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

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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:

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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: